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 14 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 |
Popular Providers
-
Rogers, Joshua James
13 Massillon Marketplace Dr Sw , Massillon OH 44646-2014 -
Doering, Kelsey Ann
35 Erie St N Ste 110 , Massillon OH 44646-8451 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Mothershed, Fred H
3353 N Gloster St , Tupelo MS 38804-9735 -
Barber, Angela Marie
2216 Lincoln Way East , Massillon OH 44646