DR. Thomas Lee Blake, O.D.
NPI #1063597847 in Cerritos, California
Provider Information
- NPI Number
- 1063597847
- Entity Type
- Individual
- Name
- DR. Thomas Lee Blake, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11847 SOUTH ST
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-6825
- Phone
- (562) 865-6119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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