IndividualActive
Adam Blacker, O.D., M.S.
NPI 1235361197 · Optometrist · Glendale, AZ
Provider details
- NPI number
- 1235361197
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D., M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 1710 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
5865 W Utopia Rd
Glendale, AZ 85308-5251
Phone: (623) 572-3919
Approximate (ZIP-level) locationGet directions
Mailing address
5865 W Utopia Rd
Glendale, AZ 85308-5251
Registry dates
- Enumerated
- 2009-08-11
- Last updated
- 2015-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.