Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALLAN BLACKLEDGE, O.D.
ActiveMARK ALLAN BLACKLEDGE, O.D. is a Optometrist healthcare provider located in SAINT JOSEPH, Missouri. NPI 1679521397 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1679521397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.237202495822 yrs)
- Last Updated
- Mar 12, 2018
- Licenses
-
953 (NE)2015007758 (MO)
Practice Information
- Address
-
5107 N BELT HWY STE Y107SAINT JOSEPH, MO, 645061280Browse MO providers · Browse ZIP 64506
- Phone
- 3085306666
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SAINT JOSEPH, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW E HONSON | O.D. | 1508868795 |
| DR. JAIMIE M PFEIFER | O.D. | 1760484950 |
| JOHN S BONEBRAKE | O.D. | 1194724328 |
| JOYCE KELLER STROUD | OD | 1225086150 |
| PAUL L MARSHALL | OD | 1275581522 |
| DR. M T ALDRICH | OD | 1023050911 |
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.