Individual provider · NPI-1

Dr. Simone P. Blake, O.D.

Optometrist · Dublin, OH

NPI number1336120237
StatusActive
Last updated in NPPESFeb 28, 2008

Details

NPI
1336120237
Entity type
Individual (NPI-1)
Name
Dr. Simone P. Blake
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2005
Last updated
Feb 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist5288OHYes

Practice location

6850 Perimeter Dr
Suite A
Dublin, OH 43016-8051

Phone 614-789-5559 · Fax 614-789-5758

Mailing address

6850 Perimeter Dr
Suite A
Dublin, OH 43016-8051

Phone 614-789-5559 · Fax 614-789-5758

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Dublin, OH