DR. Roger Blank, O.D.

NPI #1578619391 in Lake Zurich, Illinois

Provider Information

NPI Number: 1578619391
Entity Type: Individual
Name: DR. Roger Blank, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 26, 2007
Last Updated: Mar 22, 2022

Practice Location

Address: 603 CORTLAND DR
City: Lake Zurich
State: Illinois
ZIP Code: 60047-2366
Phone: (847) 975-1653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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