NPI 1023087525 · live from the CMS NPI Registry
Kevin Dean Blair, OD
Optometrist in Albany, OR. National Provider Identifier 1023087525, active.
NPI record
| NPI | 1023087525 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2330 Heritage Way Se, Albany, OR 97322 |
| Practice phone | 541-926-6077 |
| Enumerated | March 16, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2396AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.