Blake Robert Bush in Ardmore - Occupational Vision
Blake Robert Bush - NPI 1235395542
Blake Robert Bush is a Occupational Vision in Ardmore, Oklahoma. Blake Robert Bush practices all healthcare services and medical treatments related to Occupational Vision. The NPI Number for Blake Robert Bush is 1235395542. The last update date is 2015-05-12.
Blake Robert Bush's current location address is 908 N Rockford Rd, Ardmore, Oklahoma. You can contact this provider via phone number 5802237333 and fax number 5803194411. The mailing address for Blake Robert Bush is 908 N Rockford Rd, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Robert Bush |
|---|---|
| Address | 908 N Rockford Rd, Ardmore, Oklahoma |
| Phone Number | 5802237333 |
| Fax Number | 5803194411 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1235395542 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
| Address | 908 N Rockford Rd |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734012540 |
| Phone Number | 5802237333 |
| Fax Number | 5803194411 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Vision |
|---|---|
| Taxonomy | 152Wx0102X |
| Licence No | 2550 |
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Definition: Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200205700A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blake Robert Bush by the Centers for Medicare & Medicaid Services?
The Blake Robert Bush has been issued the NPI (National Provider Identifier) 1235395542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Blake Robert Bush's facilities are situated?
The facilities of Blake Robert Bush are physically located at the following address: 908 N Rockford Rd, Ardmore, OK, 734012540.
What is Blake Robert Bush's area of expertise and its corresponding taxonomy classification?
The Blake Robert Bush's field of specialization is Occupational Vision, and it falls under the taxonomy code 152Wx0102X, which categorizes healthcare providers based on their areas of practice.
On what date did the Blake Robert Bush receive its 1235395542 assignment from the Centers for Medicare & Medicaid Services?
The Blake Robert Bush was assigned its 1235395542 by the Centers for Medicare & Medicaid Services on 2008-08-06.
As of what date was the information pertaining to Blake Robert Bush, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Blake Robert Bush, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-12.
NPI Number: 1962405878
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