JOHN DEVIN BLACKBURN (NPI# 1093777864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093777864 |
| Entity Type | Individual |
| Full Name | JOHN DEVIN BLACKBURN |
| Credential | O.D. |
| Practice Address |
7409 N Cedar Ave #103 Fresno CA 93720-3836 |
| Practice Telephone | 5594393937 |
| Practice Fax Number | 5593259313 |
| Mailing Telephone | 5594393937 |
| Mailing Fax Number | 5593259313 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11297TPL | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0112970 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417490 | John Donald Blackburn II | Specialist/Technologist | 1995 Thunder Rd, Eagle Lake, FL 33839-3086 | 2020-01-31 |
| 1164490801 | John Stephen Blackburn | Nurse Anesthetist, Certified Registered | 7210g Broad River Rd, Irmo, SC 29063-7972 | 2006-03-09 |
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1841511037 | John W Blackburn | Anesthesiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-06-22 |
| 1215168604 | John C Blackburn | Counselor | 3130 N Dixie Hwy, Troy, OH 45373-1337 | 2009-08-03 |
| 1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
| Street Address |
7409 N CEDAR AVE #103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760442248 | Roger A Hayashi | Optometrist | 7409 N Cedar Ave, Suite 103, Fresno, CA 93720-3836 | 2006-03-27 |
| 1194921361 | Zachary Sharman, D.o. Inc. | Psychiatry & Neurology | 7409 N Cedar Ave, Suite 101, Fresno, CA 93720-3836 | 2007-06-25 |
| 1578500658 | Zachary Sharman | Psychiatry & Neurology | 7409 N Cedar Ave, Suite 101, Fresno, CA 93720-3836 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480934 | Valley Center for The Blind | Optometrist | 3417 W Shaw Ave, Fresno, CA 93711-3204 | 2018-03-14 |
| 1295236255 | Daniel & Max, LLC | Optometrist | 4846 E Kings Canyon Rd Ste 101, Fresno, CA 93727-3838 | 2018-02-26 |
| 1134643265 | Dr. Margarette Recalde, Od, Inc. | Optometrist | 1111 E. Herndon Ave. Ste 101, Fresno, CA 93720-3100 | 2017-07-31 |
| 1588184428 | Alyssa Midori Yamamoto | Optometrist | 7215 N First St, #101, Fresno, CA 93720 | 2017-06-21 |
| 1336560515 | Christopher Gordon Fisher | Optometrist | 5430 N Palm Ave Ste 101, Fresno, CA 93704-1900 | 2013-12-14 |
| 1841631785 | Roger A. Hayashi O.d., Inc. | Optometrist | 7409 N Cedar Ave Ste 103, Fresno, CA 93720-3836 | 2013-07-08 |
| 1477856003 | Mona Kaur Gill | Optometrist | 6655 N. Riverside Drive, Fresno, CA 93722 | 2010-12-21 |
| 1871893974 | Helen Zhou | Optometrist | 1360 E Herndon Ave #401, Fresno, CA 93720 | 2010-10-25 |
| 1396054276 | Macarius, Max & Daniel, LLC | Optometrist | 7031 N Blackstone Ave, Fresno, CA 93650-1206 | 2010-09-27 |
| 1851526289 | Elmer Wong Od | Optometrist | 6700 N 1st St Ste 103, Fresno, CA 93710-3947 | 2009-05-29 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.