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General NPI Number Information
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NPI Number | 1477419943
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Entity Type | Organization
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Legal Business Name | BLANTON EYE CARE, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 690 HIGHWAY 78
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City | SUMITON
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State | AL
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Zip | 35148-3419
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Country | US
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Telephone | 205-648-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 4868 HERITAGE HILLS WAY
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City | VESTAVIA
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State | AL
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Zip | 35242-2257
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Country | US
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Telephone | 573-999-2374
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MATTHEW BLANTON
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Credential | OD
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Telephone | 573-999-2374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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