SUSAN F BLAKE OD

CANTON OPTOMETRY CORPORATION

Dr SUSAN F BLAKE OD is a female medical professional, specializing in Optometry. She graduated in 2001 from Ohio State University - College Of Optometry.

Contact

CANTON OPTOMETRY CORPORATION

8100 CLEVELAND AVE NW
NORTH CANTON
OH
447205664

Tel: 3303059999

SUSAN F BLAKE OD Information

Npi 1811963705
Pac Id 4688605173
Professional Enrollment Id I20050824000785
Last Name BLAKE
First Name SUSAN
Middle Name F
Suffix
Gender F
Credential OD
Medical School Name OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2001
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CANTON OPTOMETRY CORPORATION
Group Practice Pac Id 8820996507
Number Of Group Practice Members 5
Line 1 Street Address 8100 CLEVELAND AVE NW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NORTH CANTON
State OH
Zip Code 447205664
Phone Number 3303059999
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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