DR. Susan F Blake, OD

NPI #1811963705 in Massillon, Ohio

Provider Information

NPI Number: 1811963705
Entity Type: Individual
Name: DR. Susan F Blake, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 28, 2006
Last Updated: Aug 2, 2011

Practice Location

Address: 2216 LINCOLN WAY E
City: Massillon
State: Ohio
ZIP Code: 44646-7062
Phone: (330) 832-9966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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