Individual
DOUGLAS J BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1093 ELM ST, MANCHESTER, NH 03101-1505
(603) 296-0235
(603) 296-0242
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0657
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30353408
—
NH
Enumeration date
10/19/2006
Last updated
11/02/2022
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