Blake J. Hoffman, Od, Pa

NPI 1003192162 - Optometrist - 152W00000X

NPI Details
NPI 1003192162
Enumeration Date 11/02/2011
Last Updated 11/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BLAKE BLAKE
Position PRESIDENT
Phone (785) 527-2965
Fax
Practice Location
2204 M ST
BELLEVILLE KS, 66935-2244, US
Phone (785) 527-2965
Fax
Business Location
PO BOX 130
BELLEVILLE KS, 66935-0130, US
Phone (785) 527-2965
Fax (785) 527-2709
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1870
Remove 1003192162 NPI Number
 

According to our database, Blake J. Hoffman, Od, Pa NPI is 1003192162, taxonomy code is 152W00000X and license number is 1870, license state is located at Kansas. Blake J. Hoffman, Od, Pa physically located at 2204 M St, Belleville KS, 66935-2244. NPI Number 1033115704 has the healthcare provider type.

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1003192162 NPI number is provided on an as is basis without warranty of any kind. 1003192162 is maintained by the National Plan & Provider Enumeration System. The contents of Blake J. Hoffman, Od, Pa are for informational purposes only.