Jacquelyn Willilams-Blake in Detroit - Optometrist
Jacquelyn Willilams-Blake - NPI 1639217722
Jacquelyn Willilams-Blake is a Optometrist in Detroit, Michigan. Jacquelyn Willilams-Blake practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jacquelyn Willilams-Blake is 1639217722. The last update date is 2019-11-19.
Jacquelyn Willilams-Blake's current location address is 71 Garfield St., Detroit, Michigan. You can contact this provider via phone number 3139747299 and fax number 3139747525. The mailing address for Jacquelyn Willilams-Blake is 71 Garfield St., Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Willilams-Blake |
|---|---|
| Address | 71 Garfield St., Detroit, Michigan |
| Phone Number | 3139747299 |
| Fax Number | 3139747525 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1639217722 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2019-11-19 |
Provider Mailing Address Detail
| Address | 71 Garfield St. |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 4820119110 |
| Phone Number | 3139747299 |
| Fax Number | 3139747525 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | JW003785 |
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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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What is the unique provider identifier assigned to Jacquelyn Willilams-Blake?
The Jacquelyn Willilams-Blake has been issued the NPI (National Provider Identifier) 1639217722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jacquelyn Willilams-Blake's physical address?
The Jacquelyn Willilams-Blake is physically located at 71 Garfield St., in the city of Detroit, MI, with the postal code 4820119110.
What is Jacquelyn Willilams-Blake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacquelyn Willilams-Blake's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Jacquelyn Willilams-Blake receive its 1639217722 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn Willilams-Blake was assigned its 1639217722 by the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the information related to Jacquelyn Willilams-Blake most recently updated or refreshed?
The details pertaining to the Jacquelyn Willilams-Blake, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-19.