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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 Proprietor

MR. 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 BLVD
LOS ALAMITOS, CA, 907202116
Browse 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.