Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN C. BLACKENBURG, O.D.
Active Sole ProprietorDR. JOHN C. BLACKENBURG, O.D. is a Optometrist healthcare provider located in SELMA, Alabama. NPI 1275563694 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SELMA, AL
Registration Details
- NPI Number
- 1275563694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.08863526439 yrs)
- Last Updated
- Jul 8, 2007
- License
-
S498-TA014 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 DALLAS AVESELMA, AL, 367015451Browse AL providers · Browse ZIP 36701
- Phone
- 8506220364
- Fax
- 8506220364
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SELMA, AL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY R WILLIAMS | OD | 1760404420 |
| MR. LEROY MAXWELL SR. | OD MPH | 1396758504 |
| DR. YOLANDA TAYLOR-ROSE | O.D. | 1750498457 |
| KRISTINA LOVINGGOOD | O.D. | 1619298049 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.