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
Phone: (386) 492-6999
Fax: (386) 492-6900
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619927118 | NPPES |
| Florida | MEDICAID | 078846500 | |
| Florida | Other | OPC2506 |
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