Blatt, Mary C
Blatt, Mary C is an individual health care provider with primary practice located at 450 N New Ballas Rd Dept Ophthalmology, Ste 260, Saint Louis MO 63141-6859. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Blatt, Mary C can be contacted via phone (314) 362-3937.Contact Information
Primary practice address
450 N New Ballas Rd Dept Ophthalmology, Ste 260
Saint Louis MO 63141-6859
Phone: (314) 362-3937
Fax: (866) 505-8818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03121 | Missouri |
Profile Details
| NPI number | 1437154499 |
|---|---|
| LBN Legal business name | Blatt, Mary C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | May 9th, 2024 - about 6 months 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 | 1437154499 | NPPES |
| Missouri | MEDICAID | 317834034 |
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