Thomas Blackburn Iv (NPI# 1255687554, PAC ID# 4981854536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1255687554 |
| PAC ID by PECOS | 4981854536 |
| Professional Enrollment ID | I20140508001842 |
| Full Name | Thomas Blackburn Iv |
| Organization Legal Name | EYECARECENTER OD PA |
| Address |
1201 N Bright Leaf Blvd Smithfield NC 27577-4229 |
| Phone Number | 9199348152 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7315834462 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 819 Tiffany Blvd, Rocky Mount, NC 27804-1812 | 2529722020 | EYECARECENTER OD PA |
| 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 | 9199348152 | EYECARECENTER OD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EYECARECENTER OD PA |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Ryan Cox | Optometry | Eyecarecenter Od Pa | 3901 Oleander Dr, Wilmington, NC 28403-6712 |
| Chonda E Washington | Optometry | Eyecarecenter Od Pa | 5850, 74 Unit 6, Indian Trail, NC 28079-3400 |
| Duy Q Lam | Optometry | Eyecarecenter Od Pa | 1225 Carthage St, Sanford, NC 27330-8984 |
| Amy Sugarman Sweeney | Optometry | Eyecarecenter Od Pa | 113 Country Club Dr Ne, Concord, NC 28025-2935 |
| Paul D Hayes | Optometry | Eyecarecenter Od Pa | 229 Crossroads Blvd, Cary, NC 27518-6893 |
| Michael D Baldinger | Optometry | Eyecarecenter Od Pa | 1208 S Blvd, Charlotte, NC 28203-4208 |
| Carrie S Weaver | Optometry | Eyecarecenter Od Pa | 5121 Reidsville Rd, Walkertown, NC 27051-9770 |
| Shemeeka L Mcfadden | Optometry | Eyecarecenter Od Pa | 819 Tiffany Blvd, Rocky Mount, NC 27804-1812 |
| Rabia Y Ali | Optometry | Eyecarecenter Od Pa | 14 Consultant Pl, Suite 100, Durham, NC 27707-6326 |
| Holly A Bennett | Optometry | Eyecarecenter Od Pa | 3001 Raleigh Rd W, Wilson, NC 27896-8213 |
| Street Address |
1201 N BRIGHT LEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip | 27577-4229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Patrick O'dowd | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Rachel Miller Vick | Optometry | Eyecarecenter Od Pa | 1201 N Bright Leaf Blvd, Smithfield, NC 27577-4229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Alan Trottman | General Surgery | Rex Hospital Inc | 131 E Market St, Smithfield, NC 27577-3915 |
| Marie L Zaldivar | Family Medicine | 127 E Market St, Smithfield, NC 27577-3915 | |
| Franklin C Wefald | Cardiovascular Disease (cardiology) | 101 E Market St, Smithfield, NC 27577-3915 | |
| Brandon Keith Woodard | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Efrain Perez | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Jodi L Tholen Bailey | Obstetrics/gynecology | Triangle Premier Womens Health Pa | 520 N St, Smithfield, NC 27577-4016 |
| Manmohan Singh | General Surgery | 713 N St, Smithfield, NC 27577-4019 | |
| Christopher Page Jordan | Gastroenterology | 415 C N 7th St, Smithfield, NC 27577-4043 | |
| Nitzan D Catz | Otolaryngology | 927 N Brightleaf Blvd, Smithfield, NC 27577-4357 | |
| Madan Lal | Ophthalmology | 925 N Brightleaf Blvd, Smithfield, NC 27577-4357 | |
| Find all physicians in zip 27577 | |||
| City | SMITHFIELD |
| Zip Code | 27577 |
| Specialty | OPTOMETRY |
| City + Specialty | SMITHFIELD + OPTOMETRY |
Please comment or provide details below to improve the information on Thomas Blackburn Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.