| Dr Walter B Blankenship, OD | |
|
126 Jefferson St, Mansfield, LA 71052-2602 | |
| (318) 872-0747 | |
| (318) 872-0748 |
| Full Name | Dr Walter B Blankenship |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 126 Jefferson St, Mansfield, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770597072 | NPI | - | NPPES |
| 1072087 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 668 107T (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter B Blankenship, OD 10485 Longfellow Trce, Shreveport, LA 71106-9383 Ph: (318) 524-1545 | Dr Walter B Blankenship, OD 126 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-0747 |
Eye Central Mansfield Llc Optometrist Medicare: Medicare Enrolled Practice Location: 405 Polk St, Mansfield, LA 71052 Phone: 318-872-0747 Fax: 318-716-3376 | |
Christopher Shelby M D A Professional Medical Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 Jefferson St, Mansfield, LA 71052 Phone: 318-872-0747 |