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General NPI Number Information
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NPI Number | 1881361160
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Entity Type | Individual
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Provider Name | EMILY ELIZABETH BLANEY OD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 7155 BROADWAY
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City | LEMON GROVE
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State | CA
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Zip | 91945-1408
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Country | US
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Telephone | 808-523-2020
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Fax | 808-523-2030
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Provider Business Mailing Address
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Address Line | 7155 BROADWAY
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City | LEMON GROVE
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State | CA
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Zip | 91945-1408
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Country | US
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Telephone | 619-315-0192
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Fax | 619-337-2857
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 957
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License Number State | HI
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