Mr. Stan R. Blackwell, ABOC
Mr. Stan R. Blackwell, ABOC is an Optician in Los Alamitos, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
10612 Los Alamitos BlvdLos Alamitos, CA 90720-2116
Phone: (562) 493-3569
Fax: (562) 596-8948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence SL2639 (CA) |
|---|
Record details
| NPI number | 1700206901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ABOC |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2014 |
| Last updated in NPPES | April 26, 2014 |