Mark G. Blasbalg Od Inc

LBN: Mark G. Blasbalg Od Inc
Mark G. Blasbalg Od Inc is an health care organization with primary practice located at 1193 Tiogue Ave , Coventry RI 02816-6122. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mark G. Blasbalg Od Inc can be contacted via phone (401) 823-8200, or through Blasbalg, Mark G via phone (401) 823-8200.

Contact Information

Primary practice address
1193 Tiogue Ave Coventry RI 02816-6122
Phone: (401) 823-8200
Fax: (401) 826-8708
Website:
Map and Directions
Authorized official contact:
Name: Blasbalg, Mark G Doctor of Optometry (OD)
Phone: (401) 823-8200

Health care specialties

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

Profile Details

NPI number 1902963457
LBN Legal business name Mark G. Blasbalg Od Inc
DBA Doing business as
Authorized official Blasbalg, Mark G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902963457 NPPES
Rhode Island MEDICAID 9009739

Popular Providers