Individual
BRIAN D BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
30 HIGHLAND MEADOWS CIR STE 11, HIGHLAND HEIGHTS, KY 41076-1788
(317) 690-2259
Mailing address
30 HIGHLAND MEADOWS CIR STE 11, HIGHLAND HEIGHTS, KY 41076-1788
(317) 690-2259
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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