Individual
SCOTT M BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
93 TERRY PKWY, SUITE 9, TERRYTOWN, LA 70056-5502
(504) 361-4446
(504) 361-4695
Mailing address
93 TERRY PARKWAY, SUITE 9, TERRYTOWN, LA 70056
(504) 361-4446
(504) 361-4695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
931158T
LA
152WC0802X
Corneal and Contact Management Optometrist
931-158T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370851
—
LA
Enumeration date
10/23/2006
Last updated
07/19/2017
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