Mark G Blasbalg is a Optometrist in Coventry, Rhode Island. Mark G Blasbalg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark G Blasbalg is 1366554420. The last update date is 2007-07-09.
Mark G Blasbalg's current location address is 1193 Tiogue Ave, Coventry, Rhode Island. You can contact this provider via phone number 4018238200 and fax number 4018268708. The mailing address for Mark G Blasbalg is 1193 Tiogue Ave, Coventry, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Blasbalg |
|---|---|
| Address | 1193 Tiogue Ave, Coventry, Rhode Island |
| Phone Number | 4018238200 |
| Fax Number | 4018268708 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1366554420 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1193 Tiogue Ave |
|---|---|
| City | Coventry |
| State | Rhode Island (RI) |
| Post Code | 28166122 |
| Phone Number | 4018238200 |
| Fax Number | 4018268708 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODTG00489 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9009739 | RI | -- |
Post Comment/ Review Below
What is the Mark G Blasbalg's unique identification number?
The Mark G Blasbalg has been assigned the NPI (National Provider Identifier) Number 1366554420 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mark G Blasbalg is geographically located?
The Mark G Blasbalg is physically situated at the following location: 1193 Tiogue Ave, Coventry, RI, 28166122.
What is the Mark G Blasbalg's area of specialization and corresponding taxonomy classification?
The Mark G Blasbalg's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1366554420 to Mark G Blasbalg?
The Centers for Medicare & Medicaid Services assigned the 1366554420 to Mark G Blasbalg on 2006-08-31.
When was the information related to Mark G Blasbalg most recently updated or refreshed?
The details pertaining to the Mark G Blasbalg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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