Organization
ROBERT BLAIR O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BLAIR JR. O.D. (MEMBER/OWNER)
(816) 213-9948
Entity
Organization
Contact information
Practice address
1700 N 291 HWY, HARRISONVILLE, MO 64701-1218
(816) 884-5845
(816) 884-5735
Mailing address
PO BOX 253, HARRISONVILLE, MO 64701-0253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019123
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386654275
—
MO
Enumeration date
04/25/2012
Last updated
04/25/2012
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