John Devin Blackburn, OD | |
7409 N Cedar Ave, #103, Fresno, CA 93720-3836 | |
(559) 439-3937 | |
(559) 325-9313 |
Full Name | John Devin Blackburn |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 7409 N Cedar Ave, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093777864 | NPI | - | NPPES |
SD0112970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 11297TPL (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Provider Name | State Of California - Department Of Developmental Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496 |
Mailing Address | Practice Location Address |
---|---|
John Devin Blackburn, OD 7409 N Cedar Ave, #103, Fresno, CA 93720-3836 Ph: (559) 439-3937 | John Devin Blackburn, OD 7409 N Cedar Ave, #103, Fresno, CA 93720-3836 Ph: (559) 439-3937 |
Dr. Scott Randall Hultman, O,D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3636 N Blackstone Ave, Fresno, CA 93726 Phone: 559-244-3319 | |
Dr. Thomas Pearson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720 Phone: 559-449-5010 Fax: 559-449-5014 | |
Eye-q Vision Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 | |
Dr. Andrea Cristina Huerta, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 Fax: 559-256-8575 | |
Dr. David R Urien, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5430 N Palm Ave, Suite 101, Fresno, CA 93704 Phone: 559-432-0606 Fax: 559-432-0608 | |
Dr. Steven W. Shute, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7075 N Sharon Ave, Fresno, CA 93720 Phone: 559-486-2000 | |
Dr. Elmer Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6700 N 1st St, 103, Fresno, CA 93710 Phone: 559-438-6440 Fax: 559-438-4324 |