Individual
DR. STEVEN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2557 S RIVER ROAD, #B3, ST GEORGE, UT 84790-1329
(435) 633-3256
Mailing address
3199 E 2890 S, ST GEORGE, UT 84790-1329
(435) 633-3256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5927476-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
5927476-9934
UT
152WP0200X
Pediatric Optometrist
5927476-9934
UT
152WS0006X
Sports Vision Optometrist
5927476-9934
UT
152WV0400X
Vision Therapy Optometrist
5927476-9934
UT
152WX0102X
Occupational Vision Optometrist
5927476-9934
UT
Other
Enumeration date
01/04/2016
Last updated
08/29/2024
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