Dr. John C. Blackenburg is a Selma, Alabama based male Optometrist who is specialized in Optometry. Active license number of Dr. John C. Blackenburg is S498-TA014 for Optometry in Alabama. Dr. John C. Blackenburg examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. John C. Blackenburg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
700 Dallas Ave, Selma, Alabama, 36701-5451
Phone:
850-622-0364
Fax:
850-622-0364
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1275563694
NPI Enumeration Date:
03 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John C. Blackenburg are as mentioned below.
License Number
Specialization
State
Status
S498-TA014
Optometry
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John C. Blackenburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
528200370
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2080 Olde Towne Ave, Miramar Beach, Florida
Zip:
32550-6500
Phone Number:
850-622-0364
Fax Number:
850-622-0364
Patients can reach Dr. John C. Blackenburg at 700 Dallas Ave, Selma, Alabama or can call to book an appointment on 850-622-0364. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.