Individual provider · Type 1 NPI

Audrey Deanne Blacklock, MD, PhD

Ophthalmology Physician · North Kansas City, MO

NPI number 1912199159 Active

Practice location

2790 Clay Edwards Dr Ste 1240
North Kansas City, MO 64116-3253

Fax (816) 221-3713

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X04-34305 (KS)
Ophthalmology Physician Primary 207W00000X2012008166 (MO)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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About NPI 1912199159

Audrey Deanne Blacklock, MD, PhD's National Provider Identifier is 1912199159, issued on Aug 13, 2007. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in North Kansas City, MO. The record was last updated on Oct 6, 2022.