Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK G BLASBALG, O.D.
Active Sole ProprietorDR. MARK G BLASBALG, O.D. is a Optometrist healthcare provider located in COVENTRY, Rhode Island. NPI 1366554420 is currently active in the NPPES registry. Verify at CMS.
Optometrist · COVENTRY, RI
Registration Details
- NPI Number
- 1366554420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.91506055795 yrs)
- Last Updated
- Jul 9, 2007
- Licenses
-
ODTG00489 (RI)2777 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1193 TIOGUE AVECOVENTRY, RI, 028166122Browse RI providers · Browse ZIP 02816
- Phone
- 4018238200
- Fax
- 4018268708
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in COVENTRY, RI
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD S LINER | OD | 1033151295 |
| DR. THOMAS W LINER | OD | 1932141181 |
| TERESA N HEAD | OD | 1851547632 |
| LIANE CARLEY PRYTULA | O.D. | 1669804753 |
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.