Doctor Name: | DR. CHARLES LEE BLAND |
NPI Number: | 1245477553 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 2536-035 |
Business Practice Address: | 180 Cedar Falls Rd Menomonie, WI - 547511268 |
Business Phone Number: | 7152355084 |
Business Fax Number: | 7152355097 |
Mailing Address: | N7962 480th St, MENOMONIE |
State: | WI |
Postal Code: | 547515832 |
Phone Number: | 7155563308 |
Fax Number: | 7152355097 |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2536-035 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |