Simone P Blake (NPI# 1336120237, PAC ID# 4486601200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1336120237 |
| PAC ID by PECOS | 4486601200 |
| Professional Enrollment ID | I20050405000055 |
| Full Name | Simone P Blake |
| Organization Legal Name | PERIMETER WEST EYE CARE |
| Address |
6850 Perimeter Dr A Dublin OH 43016-8047 |
| Phone Number | 6147895559 |
| Gender | F |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4587664214 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6850 Perimeter Dr A, Dublin, OH 43016-8047 | 6147895559 | PERIMETER WEST EYE CARE |
| Organization Legal Name | PERIMETER WEST EYE CARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Cleveland | Optometry | Perimeter West Eye Care | 6850 Perimeter Dr A, Dublin, OH 43016-8047 |
| Street Address |
6850 PERIMETER DR A |
| City | DUBLIN |
| State | OH |
| Zip | 43016-8047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Cleveland | Optometry | Perimeter West Eye Care | 6850 Perimeter Dr A, Dublin, OH 43016-8047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana J Winchester | Chiropractic | 6425 Post Rd, Suite 101, Dublin, OH 43016-1215 | |
| Amy B Mattern | Psychiatry | Psychological and Behavioral Consultants, Inc. | 6455 Post Rd, Suite B, Dublin, OH 43016-1225 |
| Andrew J Hendershot | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Amit Tandon | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Andrea K Sawchyn | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Colleen M Cebulla | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Shelly G Jain | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Sara J Huffman | Optometry | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Chantelle L Mundy | Optometry | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Courtney Y. Kauh | Ophthalmology | Osu Eye Physicians and Surgeons, LLC | 6435 Post Rd, Dublin, OH 43016-1225 |
| Find all physicians in zip 43016 | |||
| City | DUBLIN |
| Zip Code | 43016 |
| Specialty | OPTOMETRY |
| City + Specialty | DUBLIN + OPTOMETRY |
Please comment or provide details below to improve the information on Simone P Blake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.