Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BLACKMAN, OD
Active Sole ProprietorJACOB BLACKMAN, OD is a Optometrist healthcare provider located in KING, North Carolina. NPI 1558111575 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KING, NC
Registration Details
- NPI Number
- 1558111575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2024 (2.2443084695385 yrs)
- Last Updated
- Sep 3, 2025
- License
-
2805 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
306 KIRBY RDKING, NC, 270219493Browse NC providers · Browse ZIP 27021
- Phone
- 3369834313
- Fax
- 3369833500
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in KING, NC
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN ROGER WALKER | O.D. | 1528069234 |
| CANDICE CAIN FIX | OD | 1528253853 |
| AMANDA MARIE CULLER | OD | 1902454937 |
| SONJA MAKITAN | OD | 1306605324 |
| MAKAYLA SHORE SPERBECK | OD | 1215736632 |
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.