NPI 1164440368
Timothy Blankenship, OD
Practice location
- Address
- 2511 N Westwood Blvd, Poplar Bluff, MO 63901-2338
- Phone
- (573) 686-5866
- Fax
- (573) 686-0425
- Mailing address
- 1200 W Deyoung St, Marion, IL 62959-4437
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1164440368
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jul 2006
- Record last updated
- 1 Oct 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.