DR. JOHN BLACKENBURG, O.D.

Optometrist

Active Individual
NPI: 1275563694

Practice Address

700 DALLAS AVE
Selma, AL 36701

Phone: (850) 622-0364

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes S498-TA014 (AL)

Frequently Asked Questions

NPI 1275563694 is the National Provider Identifier for DR. JOHN BLACKENBURG, O.D., a Optometrist provider located in Selma, AL. This NPI was enumerated on July 3, 2006.
DR. JOHN BLACKENBURG, O.D. practices at 700 DALLAS AVE, Selma, AL 36701.

Quick Facts

NPI
1275563694
Type
Individual
Enumerated
Jul 3, 2006
Last Updated
Jul 8, 2007

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