DR. WALTER B BLANKENSHIP (NPI# 1770597072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770597072 |
| Entity Type | Individual |
| Full Name | DR. WALTER B BLANKENSHIP |
| Credential | O.D. |
| Practice Address |
126 Jefferson St Mansfield LA 71052-2602 |
| Mailing Address |
10485 Longfellow Trce Shreveport LA 71106-9383 |
| Practice Telephone | 3188720747 |
| Practice Fax Number | 3188720748 |
| Mailing Telephone | 3185241545 |
| Mailing Fax Number | 3188720748 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 668 107T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1072087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008547 | Walter David Blankenship | Physician Assistant | 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772-5673 | 2006-06-07 |
| Street Address |
126 JEFFERSON ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871855387 | Mansfield Dental Clinic LLC | Dentist | 126 Jefferson St, Mansfield, LA 71052-2600 | 2012-06-11 |
| 1053415174 | Andrew G Murphy | Dentist | 126 Jefferson St, Mansfield, LA 71052 | 2006-09-11 |
| 1962418301 | Christopher Shelby M D A Professional Medical Corporation | Optometrist | 126 Jefferson St, Mansfield, LA 71052-2602 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1932753027 | Phuong Pham | Optometrist | 1971 U.S. 287 Frontage Rd Ste 105, Mansfield, Tx 76063, Mansfield, TX 76063-7606 | 2019-07-28 |
| 1174175855 | Sabrina Gaan Od LLC | Optometrist | 287 School St Ste 140, Mansfield, MA 02048-1850 | 2019-07-12 |
| 1831667906 | Boyd Eye Care LLC | Optometrist | 1560 Highway 287 N Ste 300, Mansfield, TX 76063-8824 | 2018-11-07 |
| 1992271480 | Colston Eye Care, Pllc | Optometrist | 3150 E Broad St, Ste 120, Mansfield, TX 76063 | 2018-10-23 |
| 1083135404 | Benjamin Dean Colston | Optometrist | 3150 East Broad Street, Suite 120, Mansfield, TX 76063 | 2017-07-06 |
| 1982125316 | Lily Vision Pllc | Optometrist | 1971 Highway 287 N Ste 104, Mansfield, TX 76063-8982 | 2017-07-06 |
| 1124573092 | Specialeyes Optical, LLC | Optometrist | 1106 Alexis Ct, Mansfield, TX 76063-3338 | 2016-08-22 |
| 1427420702 | Schluterman Eye Care & Optical, Inc | Optometrist | 100 N Walnut Ave, Suite C, Mansfield, AR 72944-3522 | 2015-10-26 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.