Dr Walter B Blankenship, OD | |
126 Jefferson St, Mansfield, LA 71052-2602 | |
(318) 872-0747 | |
(318) 872-0748 |
Full Name | Dr Walter B Blankenship |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 126 Jefferson St, Mansfield, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770597072 | NPI | - | NPPES |
1072087 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 668 107T (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Walter B Blankenship, OD 10485 Longfellow Trce, Shreveport, LA 71106-9383 Ph: (318) 524-1545 | Dr Walter B Blankenship, OD 126 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-0747 |
Eye Central Mansfield Llc Optometrist Medicare: Medicare Enrolled Practice Location: 405 Polk St, Mansfield, LA 71052 Phone: 318-872-0747 Fax: 318-716-3376 | |
Christopher Shelby M D A Professional Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 Jefferson St, Mansfield, LA 71052 Phone: 318-872-0747 |