Provider Demographics
NPI:1114926938
Name:NOWIK, CHRISTOPHER J (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:NOWIK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 BANGOR JUNCTION RD
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-9369
Mailing Address - Country:US
Mailing Address - Phone:610-588-0129
Mailing Address - Fax:610-588-4700
Practice Address - Street 1:385 BANGOR JUNCTION RD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-9369
Practice Address - Country:US
Practice Address - Phone:610-588-0129
Practice Address - Fax:610-588-4700
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-000536152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4508644OtherAETNA
PANO1593770OtherHIGHMARK BLUE SHIELD
PA01405801OtherCAPITAL BLUE CROSS
PA5029340001OtherDMERC A
PAP00097101OtherPALMETTO GBA RAILROAD
PANO1593770OtherHIGHMARK BLUE SHIELD
PA01405801OtherCAPITAL BLUE CROSS
PA4508644OtherAETNA