Individual
JOHN C BLACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3364 SHERIDAN DR, AMHERST, NY 14226-1439
(716) 833-2020
(716) 833-3854
Mailing address
3364 SHERIDAN DR, AMHERST, NY 14226-1439
(716) 833-2020
(716) 833-3854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003840-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020027403
UNIVERA
NY
05
—
00885272
—
NY
Enumeration date
04/11/2006
Last updated
04/04/2008
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