NPI 1144217092 · live from the CMS NPI Registry
David W. Blodgett, MD
Ophthalmology in Lincoln, NE. National Provider Identifier 1144217092, active.
NPI record
| NPI | 1144217092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1710 S 70th St, Lincoln, NE 68506 |
| Practice phone | 402-484-9000 |
| Mailing address | Po Box 6068, Lincoln, NE 68506 |
| Enumerated | October 5, 2005 |
| Last updated | September 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 30073 (NE) |
| Ophthalmology primary | 207W00000X | 30073 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.