Individual
DR. DONNA BLOCHAVIAK GOUKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4183 MACKENZIE CT, MASON, OH 45040
(678) 360-4073
(678) 513-3111
Mailing address
4183 MACKENZIE COURT, MASON, OH 45040
(678) 360-4073
(678) 513-3111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6243-THER
OH
Other
Enumeration date
05/04/2010
Last updated
10/29/2020
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