Jamie L Blavat, OD

NPI #1073034609 in Columbus, Wisconsin

Provider Information

NPI Number: 1073034609
Entity Type: Individual
Name: Jamie L Blavat, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 5, 2017
Last Updated: Nov 28, 2022

Practice Location

Address: 1513 PARK AVE FL 1
City: Columbus
State: Wisconsin
ZIP Code: 53925-1793
Phone: (920) 623-2431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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