Provider Demographics
NPI:1225702400
Name:BLAKE SCHERMER HOLDINGS, LLC
Entity Type:Organization
Organization Name:BLAKE SCHERMER HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-540-1555
Mailing Address - Street 1:13010 MIDDLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2617
Mailing Address - Country:US
Mailing Address - Phone:301-540-1555
Mailing Address - Fax:
Practice Address - Street 1:13010 MIDDLEBROOK RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2617
Practice Address - Country:US
Practice Address - Phone:301-540-1555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty