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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID BLIESE

Active Sole Proprietor

DAVID BLIESE is a Optometrist healthcare provider located in JACKSON, Missouri. NPI 1336200617 is currently active in the NPPES registry. Verify at CMS.

Optometrist · JACKSON, MO

Registration Details

NPI Number
1336200617
Provider Type
Individual
Gender
Male
NPI Issued
Dec 12, 2006 (19.629359623185 yrs)
Last Updated
Oct 20, 2016
License
TO2706 (MO)
Sole Proprietor
Yes

Practice Information

Address
2317 BAINBRIDGE RD
JACKSON, MO, 637552343
Browse MO providers · Browse ZIP 63755
Phone
5732436719
Fax
5732436719
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in JACKSON, MO

Name Credential NPI
KENNETH CHARLES DETRING O.D. 1093797052
E F MCDONALD JR. OD 1528006350
DR. JOEL FRANCIS ALLISON O.D. 1962664151
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.