Individual
DR. MARY C BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
450 N NEW BALLAS RD, DEPT OPHTHALMOLOGY, STE 260, SAINT LOUIS, MO 63141-6859
(314) 362-3937
(866) 505-8818
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-3937
(866) 505-8818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317834034
—
MO
Enumeration date
06/16/2005
Last updated
05/09/2024
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