Paige Blankenheim, OD Valid NPI
Individual provider · Optometrist · O Fallon, MO
- NPI
- 1386361319
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2022041442 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-10-20
- Last updated
- 2022-12-09
Practice location
3013 Winghaven Blvd
O Fallon, MO 63368-3600
(636) 561-3937