Dr John C Blackenburg, OD - Optometrist in Selma, AL

Dr John C Blackenburg, OD is a Optometrist based in Selma, Alabama. Dr John C Blackenburg is licensed to practice in Alabama (license number S498-TA014) and his current practice location is 700 Dallas Ave, Selma, Alabama. He can be reached at his office (for appointments etc.) via phone at (850) 622-0364.

NPI number for Dr John C Blackenburg is 1275563694 and his current mailing address is 2080 Olde Towne Ave, Miramar Beach, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275563694.

Contact Information

Dr John C Blackenburg, OD
700 Dallas Ave,
Selma, AL 36701-5451
(850) 622-0364
(850) 622-0364



Healthcare Provider's Profile

Full NameDr John C Blackenburg
GenderMale
SpecialityOptometrist
Location700 Dallas Ave, Selma, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275563694
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John C Blackenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275563694NPI-NPPES
528200370MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist S498-TA014 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John C Blackenburg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John C Blackenburg, OD
2080 Olde Towne Ave,
Miramar Beach, FL 32550-6500

Ph: (850) 622-0364
Dr John C Blackenburg, OD
700 Dallas Ave,
Selma, AL 36701-5451

Ph: (850) 622-0364

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Optometrist in Selma, AL

Mr. Leroy Maxwell Sr., OD MPH
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2401 Medical Center Pkwy, Selma, AL 36701
Phone: 334-872-2321    Fax: 334-872-2391
Primary Eyecare Center Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2401 Medical Center Pkwy., Selma, AL 36701
Phone: 334-874-7024    Fax: 334-874-7372
Kristina Lovinggood, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Dallas Ave, Selma, AL 36701
Phone: 334-874-7024    Fax: 334-874-7372
Selma Eye Associates, Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 700 Dallas Ave, Selma, AL 36701
Phone: 334-872-6296    Fax: 334-872-5000
Dr. Jeffery B. Ford And Assoc. Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Al Highway 14 E, Selma, AL 36703
Phone: 334-874-8357    
Dr. Yolanda Taylor-rose, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Medical Center Pkwy, Selma, AL 36701
Phone: 334-872-2321    Fax: 334-872-2391

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