Blahnik, Suzette Ann

Blahnik, Suzette Ann is an individual health care provider with primary practice located at 3740 S Ridgewood Ave Unit 103 , Port Orange FL 32129-3519. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Blahnik, Suzette Ann can be contacted via phone (386) 492-6999.

Contact Information

Primary practice address
3740 S Ridgewood Ave Unit 103 Port Orange FL 32129-3519
Fax: (386) 492-6900
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2506 Florida

Profile Details

NPI number 1619927118
LBN Legal business name Blahnik, Suzette Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 9th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619927118 NPPES
Florida MEDICAID 078846500
Florida Other OPC2506

Popular Providers