Dr. Blake Mitnick, Optometrist, Plc

NPI 1013018423 - Optometrist - 152W00000X

NPI Details
NPI 1013018423
Enumeration Date 09/26/2006
Last Updated 11/05/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BLAKE BLAKE
Position OPTOMETRIST
Phone (540) 745-8733
Fax
Practice Location
211 W MAIN ST
FLOYD VA, 24091-3190, US
Phone (540) 745-8733
Fax
Business Location
211 W MAIN ST
FLOYD VA, 24091-3190, US
Phone (540) 745-8733
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000582
Remove 1013018423 NPI Number
 

According to our database, Dr. Blake Mitnick, Optometrist, Plc NPI is 1013018423, taxonomy code is 152W00000X and license number is 0618000582, license state is located at Virginia. Dr. Blake Mitnick, Optometrist, Plc physically located at 211 W Main St, Floyd VA, 24091-3190. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013018423 NPI number is provided on an as is basis without warranty of any kind. 1013018423 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Blake Mitnick, Optometrist, Plc are for informational purposes only.