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Contact Information

GREG M NOAH, OD
929 BUSINESS PARK DR
TRAVERSE CITY, MI49686
 Phone: 231-947-6246
 Fax: 231-947-8864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GREG M NOAH · (Male)

NPI # 1891789822
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/06/2005
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901003086
  • MI Medicaid 4971743
  • MI Medicaid 4971752
  • MI Medicaid 4971770
  • MI Other 900F410030 BCBS OF MICHIGAN
  • MI Other 900E110240 BCBSM
  • MI Other 900E300160 BLUE CROSS BLUE SHIELD OF MICHIGAN
  • MI Other P00397246 RAILROAD MEDIICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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