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Deactivated NPI 1407895014 Deactivated / Inactive NPI Male Practitioner

David A Blissenbach

Technician/Technologist - Optician • E St Louis, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Blissenbach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2006
NPI Deactivation Date June 11, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

David Blissenbach was a registered Technician/Technologist - Optician practicing in E St Louis, IL. Throughout an active medical career spanning 20 years, David Blissenbach provided care at the practice location at 100 N 8TH ST until profile deactivation on 2026-06-11.

Practice Location & Contact Primary Location

Practice Address

100 N 8th St

E St Louis, IL 622012989

Telephone 6182742020
Associated Practice Facility / Clinic
🏢 Olde Tyme Optical Facility NPI 1659759918

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in E St Louis, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in E St Louis, IL (63 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nurul Huda , MD

Family Medicine

NPI 1891748307

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 100 N 8TH ST, E ST LOUIS, IL 622012989 (Tel: 6182742020)

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Updated Business Mailing Address July 09, 2007

Registered at 19 DELANO DR, CAHOKIA, IL 622063105 (Tel: 6183371500)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID BLISSENBACH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Technician/Technologist

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Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407895014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: July 09, 2007
Deactivation Date: June 11, 2026

Mailing Address

19 Delano Dr

Cahokia, IL 622063105

Phone: 6183371500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.