Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK BLACKWOOD, O.D.
ActiveCLARK BLACKWOOD, O.D. is a Optometrist healthcare provider located in LONGMONT, Colorado. NPI 1518075324 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LONGMONT, CO
Registration Details
- NPI Number
- 1518075324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.944750460751 yrs)
- Last Updated
- May 23, 2012
- License
-
847 (CO)
Practice Information
- Address
-
2080 N MAIN STLONGMONT, CO, 805011916Browse CO providers · Browse ZIP 80501
- Phone
- 3036512020
- Fax
- 3037762460
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| DR. JASON L KAMINSKI | O.D., F.A.A.O. | 1790788156 |
| DR. GINA MARANGONI GABRIEL | OD MS | 1902889637 |
| DR. ROBERT KRONE | OD | 1841253853 |
| DR. SARA S HEFFLER | O.D. | 1083639413 |
| DR. LARRY L FORREST | OD | 1386752343 |
| DR. LOWELL THOMAS SCHAEFER | O.D. | 1437268430 |
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.