Blake, Richard Gary

Blake, Richard Gary is an sole proprietor health care provider with primary practice located at 21835 Ventura Blvd , Woodland Hills CA 91364-1838. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Blake, Richard Gary can be contacted via phone (818) 883-9567.

Contact Information

Primary practice address
21835 Ventura Blvd Woodland Hills CA 91364-1838
Phone: (818) 883-9567
Fax: (818) 883-5261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X D006638 California

Profile Details

NPI number 1174650071
LBN Legal business name Blake, Richard Gary
Credentials R.D.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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