| Donald W Blocker, OD | |
|
605 S Broadway, Portland, TN 37148-1619 | |
| (615) 325-2020 | |
| (615) 325-5862 |
| Full Name | Donald W Blocker |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 605 S Broadway, Portland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396798013 | NPI | - | NPPES |
| 3595433 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD0454 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donald W Blocker, OD 605 S Broadway, P O Box 470, Portland, TN 37148-1619 Ph: (615) 325-2020 | Donald W Blocker, OD 605 S Broadway, Portland, TN 37148-1619 Ph: (615) 325-2020 |
Dr. Justin Tyler Reid, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 605 S Broadway St, Portland, TN 37148 Phone: 615-636-8671 | |
Dr. Matthew Colonna, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 802 S Broadway St, Portland, TN 37148 Phone: 615-323-7331 Fax: 615-323-7332 |