Blake, Susan F

Blake, Susan F is an individual health care provider with primary practice located at 2216 Lincoln Way E , Massillon OH 44646-7062. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Blake, Susan F can be contacted via phone (330) 832-9966.

Contact Information

Primary practice address
2216 Lincoln Way E Massillon OH 44646-7062
Phone: (330) 832-9966
Fax: (330) 832-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5196 Ohio

Profile Details

NPI number 1811963705
LBN Legal business name Blake, Susan F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811963705 NPPES
Ohio Other 51108 DAVIS VISION
Ohio MEDICAID 2601081 DAVIS VISION
Ohio Other 311529091 DAVIS VISION
Ohio Other 22683 DAVIS VISION
Ohio Other 27426 DAVIS VISION
Ohio Other OH5196 DAVIS VISION
Ohio Other 202699359 DAVIS VISION
Ohio Other 202699359 DAVIS VISION
Ohio Other 311529091 DAVIS VISION
Ohio Other OH00213 DAVIS VISION

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