Dr Joseph James Blake, OD | |
275 E 15th Ave, Columbus, OH 43201-1901 | |
(740) 221-2831 | |
Not Available |
Full Name | Dr Joseph James Blake |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 275 E 15th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104231778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6267 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Buckeye Vision Care | 5799780763 | 4 |
Provider Name | Buckeye Vision Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790889491 PECOS PAC ID: 5799780763 Enrollment ID: O20060926000100 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph James Blake, OD 275 E 15th Ave, Columbus, OH 43201-1901 Ph: (740) 221-2831 | Dr Joseph James Blake, OD 275 E 15th Ave, Columbus, OH 43201-1901 Ph: (740) 221-2831 |
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