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DR. JOHN C. BLACKENBURG O.D.
NPI 1275563694
Optometrist in Selma, AL

Active since July 03, 2006
700 DALLAS AVE, SELMA, AL 36701(850) 622-0364(850) 622-0364 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. John C. Blackenburg O.d. NPPES

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

DR. JOHN C. BLACKENBURG O.D. (NPI 1275563694) is an individual optometrist in Selma, Alabama, licensed in Alabama (S498-TA014) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275563694
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN C. BLACKENBURGCredential: O.D.
Location Address700 DALLAS AVESelma, AL 36701-5451
Mailing Address2080 Olde Towne AveMiramar Beach, FL 32550-6500 · (850) 622-0364 · Fax (850) 622-0364
Phone(850) 622-0364
Fax(850) 622-0364
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275563694 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 AL · S498-TA014
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.
700 DALLAS AVE, Selma, AL 36701
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Other Identifiers 3

Medicare UPINT69132AL
Medicare ID-Type Unspecified000059717AL
Medicaid528200370AL

Other Providers at the Same Location NPPES

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

SELMA EYE ASSOCIATES, INC
Optometrist
700 DALLAS AVE
SELMA, AL 36701
Dallas County (334) 872-6296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Blackenburg's NPI number?

The NPI number for John Blackenburg is 1275563694. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is John Blackenburg located?

John Blackenburg practices at 700 Dallas Ave, Selma, AL 36701. The listed phone number is (850) 622-0364.

What is John Blackenburg's specialty?

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

When was this NPI record last updated?

The NPPES record for John Blackenburg 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.