Carla Joanne Blankenship O.D.

NPI 1831166107 - Optometrist - 152W00000X

NPI Details
NPI 1831166107
Gender Female
Enumeration Date 03/03/2006
Last Updated 01/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
54 MONUMENT CIR
STE 125
INDIANAPOLIS IN, 46204-2942, US
Phone (317) 254-6480
Fax (317) 259-8609
Business Location
5455 HARRISON PARK LN
INDIANAPOLIS IN, 46216-2245, US
Phone (317) 254-6480
Fax (317) 259-8609
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003180
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According to our database, Dr. Carla Joanne Blankenship O.D. NPI is 1831166107, taxonomy code is 152W00000X and license number is 18003180, license state is located at Indiana. Carla Joanne Blankenship O.D. physically located at 54 Monument Cir, Indianapolis IN, 46204-2942. NPI Number Carla Joanne Blankenship O.D. has the Individual type.

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1831166107 NPI number is provided on an as is basis without warranty of any kind. 1831166107 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Joanne Blankenship O.D. are for informational purposes only.