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Frederick Donald Blank

Optometrist in Cleveland, OH. Individual provider (NPI-1).

NPI number1508905241
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508905241
Entity type
Individual (NPI-1)
Name
Mr. Frederick Donald Blank
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 6, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist#2856OHYes

Other names

  • Frederick Donald Blank (Other Name)

Practice location

2512 Clark Ave
Cleveland, OH 44109-1111

Phone 216-241-2040

Mailing address

2512 Clark Ave
Cleveland, OH 44109-1111

Phone 216-241-2040

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