Organization
SAM R SILVERBLATT, OD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM RAY SILVERBLATT OD (OWNER)
(318) 798-4000
Entity
Organization
Contact information
Practice address
1803 E 70TH ST, SHREVEPORT, LA 71105-5301
(318) 798-4000
(318) 798-4001
Mailing address
1803 E 70TH ST, SHREVEPORT, LA 71105-5301
(318) 798-4000
(318) 798-4001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
90086T
LA
Other
Enumeration date
02/26/2007
Last updated
03/31/2011
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