Blackley, John C

Blackley, John C is an individual health care provider with primary practice located at 3364 Sheridan Dr , Amherst NY 14226-1439. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blackley, John C can be contacted via phone (716) 833-2020.

Contact Information

Primary practice address
3364 Sheridan Dr Amherst NY 14226-1439
Phone: (716) 833-2020
Fax: (716) 833-3854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV003840-1 New York

Profile Details

NPI number 1497718159
LBN Legal business name Blackley, John C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 4th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497718159 NPPES
New York Other 00020027403 UNIVERA
New York MEDICAID 00885272 UNIVERA

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