Blackford, Ray
Blackford, Ray is an sole proprietor health care provider with primary practice located at 3744 Lake Otis Pkwy , Anchorage AK 99508-5208. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Blackford, Ray can be contacted via phone (907) 563-5118.Contact Information
Primary practice address
3744 Lake Otis Pkwy
Anchorage AK 99508-5208
Phone: (907) 563-5118
Fax: (907) 561-7140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 47 | Alaska |
Profile Details
| NPI number | 1780737882 |
|---|---|
| LBN Legal business name | Blackford, Ray |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780737882 | NPPES |
| Alaska | Other | OP1147 | DISPENSING OPTICIAN LICEN |
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