DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. FREDERICK DONALD BLANK

MEDICARE:  MR. FREDERICK DONALD BLANK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist#2856OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508905241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDERICK DONALD BLANK
Provider Business Mailing Address
First Line : 2512 CLARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1111
Country : US
Telephone Number : 216-241-2040
Fax Number :
Provider Business Practice Location Address
First Line : 2512 CLARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1111
Country : US
Telephone Number : 216-241-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1841597374 — DR. VICTORIA RHODES NASSIF DDS
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-696-1515
Practice Fax:
1619238854 — DR. DAMAN P SIMANTIRIS D.M.D.
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-860-1195
Practice Fax:
1790107498 — DR. NASSIF & ASSOC., INC.
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-696-1515
Practice Fax: 216-696-1518
1770178956 — KONTOVEROS KLOBAS CLARK LLC
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-860-1195
Practice Fax:
1407421290 — DR. SAMANTHA TAYLOR DUFINETZ DDS
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-860-1195
Practice Fax:
1619851342 — DR. RAVNET KAUR RANDHAWA DMD
Practice Location Address:
2500 CLARK AVE
CLEVELAND, OH
44109-1111
Practice Phone: 216-860-1195
Practice Fax:

Directions to “ MR. FREDERICK DONALD BLANK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.