Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STAN R. BLACKWELL, A.B.O.C.
Active Sole ProprietorMR. STAN R. BLACKWELL, A.B.O.C. is a Optician, Dispensing healthcare provider located in LOS ALAMITOS, California. NPI 1700206901 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LOS ALAMITOS, CA
Registration Details
- NPI Number
- 1700206901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2014 (12.323930223744 yrs)
- Last Updated
- Apr 26, 2014
- License
-
SL2639 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10612 LOS ALAMITOS BLVDLOS ALAMITOS, CA, 907202116Browse CA providers · Browse ZIP 90720
- Phone
- 5624933569
- Fax
- 5625968948
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.