JOHN C BLACKENBURG OD LLC

SEMMES, AL
NPI1679896344
Entity TypeOrganization
Authorized ContactJOHN C BLACKENBURG
Owner
251-645-2991
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S498TA014)
Enumeration Date2010-03-09
Last Update Date2010-08-03
Business Address
JOHN C BLACKENBURG OD LLC
7930 MOFFETT RD
SEMMES, AL 36575-5490
Phone number: 251-645-2991
Mailing Address
JOHN C BLACKENBURG OD LLC
7930 MOFFETT RD
SEMMES, AL 36575-5490
Phone number: 251-645-2991