Timothy Blankenship is a Poplar Bluff, Missouri based male Optometrist with 18 years of experience in Optometry. He completed his graduation from University Of Missouri St Louis - School Of Optometry in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy Blankenship is 2006018048 for Optometry in Missouri. Timothy Blankenship examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Timothy Blankenship speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
18+ years
Medical School Attended:
University Of Missouri St Louis - School Of Optometry
Graduation Year:
2006
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2511 N Westwood Blvd, Poplar Bluff, Missouri, 63901-2338
Phone:
573-686-5866
Fax:
573-686-0425
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426052069
Enrollment ID:
I20060913000065
NPI Number:
1164440368
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
01 Oct, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy Blankenship are as mentioned below.
License Number
Specialization
State
Status
2006018048
Optometry
Missouri
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Timothy Blankenship has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hill Vision Services Llc (2365534005)
4
Hill Vision Services Llc (2365534005)
4
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy Blankenship such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00434357
Other
Missouri
MEDICARE RAILROAD
211780
Other
Missouri
ANTHEM BLUE CROSS BLUE SHIELD
0814870017
Other
Missouri
MEDICARE NSC NUMBER
0814870002
Other
Missouri
MEDICARE NSC NUMBER
MO8048
Other
EYEMED
0814870015
Other
Missouri
MEDICARE NSC NUMBER
127205
Other
HEALTH ALLIANCE
310865506
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1200 W Deyoung St, Marion, Illinois
Zip:
62959-4437
Phone Number:
618-993-5686
Fax Number:
618-997-6250
Patients can reach Timothy Blankenship at 2511 N Westwood Blvd, Poplar Bluff, Missouri or can call to book an appointment on 573-686-5866. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.