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Individual

DR. RICHARD A. JABLONSKI

Active
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Individual

DR. RICHARD A. JABLONSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0618000066
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031112
BLUE CROSS BLUE SHIELD
VA
01
—
2129817
AETNA HMO
VA
01
—
311873
UNITED HEALTHYCARE/OPT CH
VA
01
—
4461542
AETNA PPO
VA
01
—
54-1330725
TRICARE
VA
Enumeration date
04/01/2006
Last updated
11/05/2007
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