Dr Gary L Blackman Optometrist, LLC
NPI #1588933501 in Taylorville, Illinois
Provider Information
- NPI Number
- 1588933501
- Entity Type
- Organization
- Organization Name
- Dr Gary L Blackman Optometrist, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 20, 2011
- Last Updated
- Oct 6, 2012
Practice Location
- Address
- 16 MADERA CT
- City
- Taylorville
- State
- Illinois
- ZIP Code
- 62568-8927
- Phone
- (217) 553-7709
Authorized Official
- Name
- DR. GARY L BLACKMAN, OD
- Title
- OWNER
- Phone
- (217) 553-7709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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