Stanley N. Blackman, O.d., P.c.
NPI #1134312531 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1134312531
- Entity Type
- Organization
- Organization Name
- Stanley N. Blackman, O.d., P.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 20, 2007
- Last Updated
- Aug 20, 2007
Practice Location
- Address
- 2009 ROOSEVELT RD
- Address 2
- SUITE D
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-3765
- Phone
- (219) 462-5501
Authorized Official
- Name
- DR. STANLEY N BLACKMAN, O.D.
- Title
- OWNER
- Phone
- (219) 462-5501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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