Organization
BLODGETT OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RANDOLPH BLODGETT O.D. (PRESIDENT)
(570) 275-0901
Entity
Organization
Contact information
Practice address
500 MILL ST, SUITE A-1, DANVILLE, PA 17821-1015
(570) 275-0901
(570) 275-0901
Mailing address
500 MILL ST, SUITE A-1, DANVILLE, PA 17821-1015
(570) 275-0901
(570) 275-0901
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OEG001014
PA
Other
Enumeration date
05/16/2011
Last updated
05/19/2011
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