STEVEN BLAKE

APPLE VALLEY VISION LLC

Dr STEVEN BLAKE is a male medical professional, specializing in Optometry. He graduated in 2016 from Southern College Of Optometry.

Contact

APPLE VALLEY VISION LLC

539 S 100
PAYSON
UT
846512865

Tel: 8014650355

STEVEN BLAKE Information

Npi 1831555010
Pac Id 0648568956
Professional Enrollment Id I20161019000595
Last Name BLAKE
First Name STEVEN
Middle Name
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2016
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name APPLE VALLEY VISION LLC
Group Practice Pac Id 7416938311
Number Of Group Practice Members 2
Line 1 Street Address 539 S 100
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAYSON
State UT
Zip Code 846512865
Phone Number 8014650355
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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