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
Fax: (866) 505-8818
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437154499 NPPES
Missouri MEDICAID 317834034

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