Organization
BLADE VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA JISELLE BLADE O.D. (OPTOMETRIST)
(513) 219-6054
Entity
Organization
Contact information
Practice address
11564 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3527
(513) 671-3443
Mailing address
PO BOX 111, SOUTH LEBANON, OH 45065-0111
(513) 319-6054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5931
OH
Other
Enumeration date
03/02/2011
Last updated
04/05/2011
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