Carl Joseph Blackburn, O.D.

NPI #1083641476 in Houston, Texas

Provider Information

NPI Number: 1083641476
Entity Type: Individual
Name: Carl Joseph Blackburn, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5655 E SAM HOUSTON PKWY N
Address 2: A
City: Houston
State: Texas
ZIP Code: 77015-3250
Phone: (713) 450-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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