Provider Demographics
NPI:1598802340
Name:LAMEY, BLAIR JOHN (OD)
Entity Type:Individual
Prefix:MR
First Name:BLAIR
Middle Name:JOHN
Last Name:LAMEY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:423-899-2905
Practice Address - Fax:423-894-3261
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNODT2368152W00000X
GAOPT002027152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU93101Medicare UPIN
TN3944728Medicare ID - Type Unspecified