IndividualActive
Blake Booth, MD
NPI 1194915249 · Ophthalmology Physician · Oxford, MS
Provider details
- NPI number
- 1194915249
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 21490 (MS)
Practice location
1308 Belk Blvd
Oxford, MS 38655-5302
Phone: (662) 234-6551
Fax: (662) 234-0468
Mailing address
1308 Belk Blvd
Oxford, MS 38655-5302
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2011-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.