Organization
BLAHNIK EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZETTE A BLAHNIK O.D. (PRESIDENT)
(386) 492-6999
Entity
Organization
Contact information
Practice address
3740 S RIDGEWOOD AVE, UNIT 103, PORT ORANGE, FL 32129-3510
(386) 492-6999
(386) 492-6900
Mailing address
3740 S RIDGEWOOD AVE, UNIT 103, PORT ORANGE, FL 32129-3510
(386) 492-6999
(386) 492-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781100
—
FL
Enumeration date
10/22/2008
Last updated
03/05/2010
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