Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC 3431 | FL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC 3431 | FL |
NPI | 1235341116 |
---|---|
Provider Name | Dr. Christine Y Blick |
First Address | Celebration, FL 34747-4687 |
Second Address | Celebration, FL 34747-4687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 05/09/2013 |