Organization
DR. RICHARD H. BLACKWELL & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H. BLACKWELL O.D. (OWNER)
(864) 234-5350
Entity
Organization
Contact information
Practice address
700 HAYWOOD RD STE 227, HAYWOOD MALL, GREENVILLE, SC 29607-6133
(864) 234-5350
(864) 234-5352
Mailing address
700 HAYWOOD RD STE 227, HAYWOOD MALL, GREENVILLE, SC 29607-6133
(864) 234-5350
(864) 234-5352
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
706
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC0706
EYEMED
SC
Enumeration date
11/26/2007
Last updated
12/27/2007
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