Individual
DR. DAVID LEE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16131 LANCASTER HWY, SUITE 170, CHARLOTTE, NC 28277
(704) 541-5500
(704) 541-5091
Mailing address
16131 LANCASTER HWY STE 170, CHARLOTTE, NC 28277-2033
(704) 541-5500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09312X
BC BS NC
NC
Enumeration date
09/20/2006
Last updated
12/20/2007
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