Blake Gordon Powell, O.D.

NPI #1174937619 in Oregon, Ohio

Provider Information

NPI Number: 1174937619
Entity Type: Individual
Name: Blake Gordon Powell, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 3975 NAVARRE AVE
City: Oregon
State: Ohio
ZIP Code: 43616-3437
Phone: (419) 698-4949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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