Shelly Blaker Od PC

NPI #1568940435 in Hondo, Texas

Provider Information

NPI Number: 1568940435
Entity Type: Organization
Organization Name: Shelly Blaker Od PC
Primary Specialty: Optometrist
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 1620 AVENUE M
City: Hondo
State: Texas
ZIP Code: 78861-1733
Phone: (830) 741-2634

Authorized Official

Name: SHELLY BLAKER, OD
Title: OWNER
Phone: (830) 896-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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