Provider Demographics
NPI:1487215380
Name:BLECHER, NATHANIEL AIDAN (MD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:AIDAN
Last Name:BLECHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-3431
Mailing Address - Fax:314-362-6564
Practice Address - Street 1:517 S EUCLID AVE
Practice Address - Street 2:DEPT OPTHALMOLOGY, 1ST FL
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1007
Practice Address - Country:US
Practice Address - Phone:314-362-3431
Practice Address - Fax:314-362-6564
Is Sole Proprietor?:No
Enumeration Date:2019-06-23
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2023015369207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology