Organization · Type 2 NPI
Donald W Blocker Do
Eyewear Supplier · Portland, TN
NPI number
1609078229
Active · reactivated Mar 4, 2008
Practice location
605 S Broadway
Portland, TN 37148-1619
Fax (615) 325-5862
Mailing address
PO Box 470
Portland, TN 37148-0470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1609078229
Donald W Blocker Do's National Provider Identifier is 1609078229, issued on Jun 5, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Portland, TN. The record was last updated on Oct 24, 2014.