| Dr John C Blackenburg, OD | |
|
700 Dallas Ave, Selma, AL 36701-5451 | |
| (850) 622-0364 | |
| (850) 622-0364 |
| Full Name | Dr John C Blackenburg |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 700 Dallas Ave, Selma, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275563694 | NPI | - | NPPES |
| 528200370 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S498-TA014 (Alabama) | Primary |
| Mailing Address | Practice 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 |
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 |