MARK BLACKLEDGE, O.D.
Optometrist
Active
Individual
NPI: 1679521397
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2015007758 (MO) |
Frequently Asked Questions
NPI 1679521397 is the National Provider Identifier for MARK BLACKLEDGE, O.D., a Optometrist provider located in Saint Joseph, MO. This NPI was enumerated on May 5, 2006.
MARK BLACKLEDGE, O.D. practices at 5107 N BELT HWY STE Y107, Saint Joseph, MO 64506.
Quick Facts
- NPI
- 1679521397
- Type
- Individual
- Enumerated
- May 5, 2006
- Last Updated
- Mar 12, 2018
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