CARL JOSEPH BLACKBURN O.D.
NPI 1083641476
Optometrist in Houston, TX

Q: What is Carl Blackburn's NPI number?

The NPI number for Carl Blackburn is 1083641476. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Carl Blackburn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Blackburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006

5655 E SAM HOUSTON PKWY N, A, HOUSTON, TX 77015(713) 450-4484(713) 450-4424 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carl Joseph Blackburn O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL JOSEPH BLACKBURN O.D. (NPI 1083641476) is an individual optometrist in Houston, Texas, licensed in Texas (1771TG) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1083641476

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameCARL JOSEPH BLACKBURNCredential: O.D.

Location Address5655 E SAM HOUSTON PKWY N, AHouston, TX 77015-3250

Mailing Address7619 Dolphin Arc DrHumble, TX 77346-8199 · (713) 450-4484 · Fax (713) 450-4424

Phone(713) 450-4484

Fax(713) 450-4424

Sole ProprietorYes

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083641476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 1771TG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5655 E SAM HOUSTON PKWY N, Houston, TX 77015

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Other Identifiers 3

Medicaid158706501TX

Medicare ID-Type Unspecified00729PTX

Medicare UPINU30581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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