Clark Blackwood is a Longmont, Colorado based male Optometrist who is specialized in Optometry. Active license number of Clark Blackwood is 847 for Optometry in Colorado. Clark Blackwood 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:
Clark Blackwood 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:
2080 N Main St, Longmont, Colorado, 80501-1916
Phone:
303-651-2020
Fax:
303-776-2460
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:
1518075324
NPI Enumeration Date:
29 Aug, 2006
NPI Last Update On:
23 May, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark Blackwood are as mentioned below.
License Number
Specialization
State
Status
847
Optometry
Colorado
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Clark Blackwood such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
08008476
Medicaid
Colorado
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 N Main St, Longmont, Colorado
Zip:
80501-1916
Phone Number:
303-651-2020
Fax Number:
303-776-2460
Patients can reach Clark Blackwood at 2080 N Main St, Longmont, Colorado or can call to book an appointment on 303-651-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.