NPI 1104762160

Robert Walter Nowicki

Practitioner Optician Fairbanks, AK

Practice location

Address: 1717 W Cowles St, Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Mailing address: PO Box 39035, Belfast, ME 04915-1232

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence DOPD333 (AK)

Other Technician/Technologist providers in Alaska →

Registry record

NPI: 1104762160
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2026
Record last updated: 23 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.