Blackley, John C
Blackley, John C is an individual health care provider with primary practice located at 3364 Sheridan Dr , Amherst NY 14226-1439. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blackley, John C can be contacted via phone (716) 833-2020.Contact Information
Primary practice address
3364 Sheridan Dr
Amherst NY 14226-1439
Phone: (716) 833-2020
Fax: (716) 833-3854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV003840-1 | New York |
Profile Details
| NPI number | 1497718159 |
|---|---|
| LBN Legal business name | Blackley, John C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 4th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497718159 | NPPES |
| New York | Other | 00020027403 | UNIVERA |
| New York | MEDICAID | 00885272 | UNIVERA |
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