Donald W Blocker in Portland - Optometrist

Donald W Blocker - NPI 1396798013

Donald W Blocker is a Optometrist in Portland, Tennessee. Donald W Blocker practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Donald W Blocker is 1396798013. The last update date is 2008-02-19.

Donald W Blocker's current location address is 605 S Broadway, Portland, Tennessee. You can contact this provider via phone number 6153252020 and fax number 6153255862. The mailing address for Donald W Blocker is 605 S Broadway, Portland, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald W Blocker
Address 605 S Broadway, Portland, Tennessee
Phone Number 6153252020
Fax Number 6153255862
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1396798013
Provider Enumeration Date 2006-05-17
Last Updated Date 2008-02-19

Provider Mailing Address Detail

Address 605 S Broadway
City Portland
State Tennessee (TN)
Post Code 371481619
Phone Number 6153252020
Fax Number 6153255862

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OD0454
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3595433 TN --

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FAQs about Donald W Blocker

What is the unique 10-digit identifier code assigned to Donald W Blocker by the Centers for Medicare & Medicaid Services?

The Donald W Blocker has been issued the NPI (National Provider Identifier) 1396798013 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Donald W Blocker is located?

The Donald W Blocker is situated at the following address: 605 S Broadway, Portland, TN, 371481619.

What is Donald W Blocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Donald W Blocker is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Donald W Blocker receive the assignment of its 1396798013 from the Centers for Medicare & Medicaid Services?

The Donald W Blocker was issued its 1396798013 by the Centers for Medicare & Medicaid Services on 2006-05-17.

As of what date was the information regarding Donald W Blocker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Donald W Blocker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-19.

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