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Contact Information

KEITH W BLANKMAN, OD
19908 AUGUSTA DR
SUITE 1
LAWRENCEBURG, IN47025
 Phone: 812-537-1998
 Fax: 812-537-2744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEITH W BLANKMAN · (Male)

NPI Number 1447382593
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/12/2007
Last updated 10/03/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 18003110A
  • OH License # 5197
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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