Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE MITNICK, O.D.
ActiveDR. BLAKE MITNICK, O.D. is a Optometrist healthcare provider located in FLOYD, Virginia. NPI 1275504367 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FLOYD, VA
Registration Details
- NPI Number
- 1275504367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2006 (20.54082566601 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0618000582 (VA)
Practice Information
- Address
-
211 W MAIN STFLOYD, VA, 240913190Browse VA providers · Browse ZIP 24091
- Phone
- 5407458733
- Fax
- 5407456644
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.