Individual
ALEXANDER D BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9201 BIG HORN BLVD, OPTOMETRY DEPT, ELK GROVE, CA 95758-1240
(916) 478-5580
(916) 478-5578
Mailing address
9201 BIG HORN BLVD, OPTOMETRY DEPT, ELK GROVE, CA 95758-1240
(916) 478-5580
(916) 478-5578
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5242T
CA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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