Stan R. Blackwell, A.B.O.C.
Optician · Los Alamitos, CA
Practice location
10612 Los Alamitos BlvdLos Alamitos, CA 90720-2116
- Phone
- (562) 493-3569
- Fax
- (562) 596-8948
NPI record
- NPI
- 1700206901
- Entity type
- Individual (Type 1)
- Enumeration date
- April 26, 2014
- Last updated
- April 26, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optician Primary | 156FX1800X |
SL2639 | CA |
Mailing address
3178 W Lindacita LnAnaheim, CA 92804-1725
- Phone
- (714) 743-5544
About Stan Blackwell
Stan R. Blackwell, A.B.O.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 10612 Los Alamitos Blvd, Los Alamitos, CA 90720-2116. The NPI number 1700206901 was assigned on April 26, 2014 and the record was last updated on April 26, 2014.
Stan Blackwell lists a license in the registry: #SL2639 (CA) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Stan R. Blackwell, A.B.O.C.?
The NPI number is 1700206901.
What is the phone number of Stan Blackwell?
The phone number listed for the practice location is (562) 493-3569.
Where is Stan Blackwell located?
10612 Los Alamitos Blvd, Los Alamitos, CA 90720-2116.
What is the taxonomy code for Stan Blackwell?
The primary taxonomy code is 156FX1800X – Optician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.