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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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