Provider Demographics
NPI:1093060980
Name:BLISH, LANNING
Entity type:Individual
Prefix:
First Name:LANNING
Middle Name:
Last Name:BLISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 N ED CAREY DR STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-1020
Mailing Address - Country:US
Mailing Address - Phone:956-244-5322
Mailing Address - Fax:
Practice Address - Street 1:913 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-5438
Practice Address - Country:US
Practice Address - Phone:956-440-1333
Practice Address - Fax:956-440-1330
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician