NPI 1194915249

Blake a Booth, MD

Practitioner Ophthalmology Physician Oxford, MS

Practice location

Address: 1308 Belk Blvd, Oxford, MS 38655-5302
Phone: (662) 234-6551
Fax: (662) 234-0468

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 21490 (MS)

Other Ophthalmology providers in Mississippi →

Registry record

NPI: 1194915249
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2007
Record last updated: 8 Aug 2011

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.