Dr. Herbert Alden Blake
Optometrist
Optometry Clinic Madigan Army Medical Center
Tacoma
, Washington 98431-0001
Dr. Herbert Alden Blake
Optometrist
Optometry Clinic Madigan Army Medical Center
Tacoma
, Washington 98431-0001
(253) 840-0780
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Herbert Alden Blake
- 12914 130th Avenue Ct E
- Puyallup, WA
- Zip : 98374-4825
- Phone : (253) 840-0780
Second Address
- Dr. Herbert Alden Blake
- Optometry Clinic Madigan Army Medical Center
- Tacoma, WA
- Zip : 98431-0001
- Fax : (253) 968-4677
- Phone : (253) 968-2790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 953 | WA |
National Provider Identifier
| NPI | 1003835539 |
|---|---|
| Provider Name | Dr. Herbert Alden Blake |
| First Address | Puyallup, WA 98374-4825 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.