Doctor Name: | MR. WILLIAM S BLAKEMORE |
NPI Number: | 1235195827 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24730 |
Business Practice Address: | 101 Mark Dr Edenton, NC - 279321704 |
Business Phone Number: | 2524827471 |
Business Fax Number: | 2524825465 |
Mailing Address: | Po Box 1077, 101 Mark Dr EDENTON |
State: | NC |
Postal Code: | 279321077 |
Phone Number: | 2524827471 |
Fax Number: | 2524825465 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 05/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 24730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |