Audrey Deanne Blacklock in N Kansas City - Ophthalmology
Audrey Deanne Blacklock - NPI 1912199159
Audrey Deanne Blacklock is a Ophthalmology in N Kansas City, Missouri. Audrey Deanne Blacklock practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Audrey Deanne Blacklock is 1912199159. The last update date is 2022-10-06.
Audrey Deanne Blacklock's current location address is 2790 Clay Edwards Dr Ste 1240, N Kansas City, Missouri. You can contact this provider via phone number 8168422015 and fax number 8162213713. The mailing address for Audrey Deanne Blacklock is 2790 Clay Edwards Dr Ste 1240, N Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Audrey Deanne Blacklock |
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Address | 2790 Clay Edwards Dr Ste 1240, N Kansas City, Missouri |
Phone Number | 8168422015 |
Fax Number | 8162213713 |
Sole Proprietor | N |
Credentials | MD, PHD |
NPI Number Detail
NPI Number | 1912199159 |
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Provider Enumeration Date | 2007-08-13 |
Last Updated Date | 2022-10-06 |
Provider Mailing Address Detail
Address | 2790 Clay Edwards Dr Ste 1240 |
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City | N Kansas City |
State | Missouri (MO) |
Post Code | 641163253 |
Phone Number | 8168422015 |
Fax Number | 8162213713 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 04-34305 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique identifier code issued to Audrey Deanne Blacklock by the Centers for Medicare & Medicaid Services?
The Audrey Deanne Blacklock has been assigned the NPI (National Provider Identifier) 1912199159. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Audrey Deanne Blacklock?
The Audrey Deanne Blacklock is situated at 2790 Clay Edwards Dr Ste 1240, in the city of N Kansas City, state of MO, with the zip code 641163253.
What is Audrey Deanne Blacklock's area of expertise and its corresponding taxonomy classification?
The Audrey Deanne Blacklock's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1912199159 to Audrey Deanne Blacklock?
The Audrey Deanne Blacklock received its 1912199159 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.
When was the information regarding Audrey Deanne Blacklock most recently updated?
The details pertaining to the Audrey Deanne Blacklock, including its address, specialty, and other relevant information, were last refreshed on 2022-10-06.
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