IndividualActive
David Dziak, ABOC/NCLEC
NPI 1417183591 · Optician · Petoskey, MI
Provider details
- NPI number
- 1417183591
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- ABOC/NCLEC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
560 W Mitchell St
Suite 204
Petoskey, MI 49770-2275
Phone: (231) 487-0171
Fax: (231) 487-0690
Approximate (ZIP-level) locationGet directions
Mailing address
560 W Mitchell St
Petoskey, MI 49770-2275
Registry dates
- Enumerated
- 2009-06-03
- Last updated
- 2009-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.