National Provider Identifier
John C Blackley, OD
John C Blackley, OD is listed in the NPPES registry with a primary specialty of Optometrist in Amherst, NY and a listed phone number of (716) 833-2020.
Profile Overview
- NPI
- 1497718159
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- April 11, 2006
- Last Updated
- April 04, 2008
Practice Location
- 3364 Sheridan Dr
- Amherst, NY 14226-1439
Phone: (716) 833-2020
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1497718159
- Entity Type
- Individual
- Last Name
- Blackley
- First Name
- John
- Middle Name
- C
- Credential
- OD
- Mailing Street Address
- 3364 Sheridan Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1439
- Mailing Country
- US
- Mailing Phone
- (716) 833-2020
- Mailing Fax
- (716) 833-3854
- Practice Street Address
- 3364 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1439
- Practice Country
- US
- Practice Phone
- (716) 833-2020
- Practice Fax
- (716) 833-3854
- Enumeration Date
- April 11, 2006
- Last Updated
- April 04, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 00020027403 (NY, Univera), 00885272 (NY)