Doctor Name: | SCOTT M BLAHNIK |
NPI Number: | 1235212085 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 931-158T |
Business Practice Address: | 93 Terry Pkwy Suite 9 Terrytown, LA - 700565502 |
Business Phone Number: | 5043614446 |
Business Fax Number: | 5043614695 |
Mailing Address: | 93 Terry Parkway, Suite 9 TERRYTOWN |
State: | LA |
Postal Code: | 70056 |
Phone Number: | 5043614446 |
Fax Number: | 5043614695 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 931-158T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |