DR. SEAN G. BLACKBURN (NPI# 1457421612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457421612 |
| Entity Type | Individual |
| Full Name | DR. SEAN G. BLACKBURN |
| Credential | O.D. |
| Practice Address |
836 18th Ave Sidney NE 69162-1402 |
| Practice Telephone | 3082545115 |
| Mailing Telephone | 3082545115 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1066 | NE | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770940215 | Sean Blackburn | Counselor | 903 18th St Ste 217, Plano, TX 75074-5848 | 2016-01-27 |
| 1154884195 | Sean Joseph Novara Blackburn | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2019-04-08 |
| 1740764844 | Sean M Blackburn | Social Worker | 120 Kentucky Ave Ste 110, Lexington, KY 40502-1978 | 2018-09-24 |
| Street Address |
836 18TH AVE |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477764785 | Sean G. Blackburn, O.d. | Optometrist | 836 18th Ave, Sidney, NE 69162-1402 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| Find all providers in zip 69162 | ||||
| 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 |
|---|---|---|---|---|
| 1740345776 | Roger Allan Anderson | Optometrist | 1405 4th St Sw, West Side Professional Center Ste 2, Sidney, MT 59270-3515 | 2006-12-27 |
| 1912969361 | Dale S Barr | Optometrist | 1086 Fairington Dr, Sidney, OH 45365-8913 | 2006-04-03 |
| 1295725372 | Gregory E Cavanaugh | Optometrist | 112 2nd St Se, Sidney, MT 59270-4104 | 2005-10-28 |
| 1487646816 | Philip W Valentine | Optometrist | 739 Spruce Ave, Sidney, OH 45365-0179 | 2005-08-22 |
| 1679139315 | Heather Renee Frideger | Optometrist | 1086 Fairington Dr, Sidney, OH 45365-8913 | 2019-05-17 |
| 1548731557 | Jacob Andrew Luthman | Optometrist | 1086 Fairington Dr, Sidney, OH 45365-8913 | 2018-12-17 |
| 1467803213 | Amanda Eilerman | Optometrist | 1086 Fairington Dr, Sidney, OH 45365-8913 | 2016-06-23 |
| 1790191203 | Lindsey King | Optometrist | 1086 Fairington Dr, Sidney, OH 45365-8913 | 2014-07-03 |
| 1750638219 | Sidney Eye Care Pllc | Optometrist | 112 2nd St Se, Sidney, MT 59270-4104 | 2012-08-14 |
| 1295050029 | Dr. Gregory Cavanaugh Od PC | Optometrist | 112 2nd St Se, Sidney, MT 59270-4104 | 2010-04-05 |
| Find all providers in SIDNEY | ||||
Please comment or provide details below to improve the information on DR. SEAN G. BLACKBURN.
| 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.