Ray Blackford, OPTICIAN

NPI #1780737882 in Anchorage, Alaska

Provider Information

NPI Number
1780737882
Entity Type
Individual
Name
Ray Blackford, OPTICIAN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
OPTICIAN
Enumeration Date
Jan 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3744 LAKE OTIS PKWY
State
Alaska
ZIP Code
99508-5208
Phone
(907) 563-5118

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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