Jacob Blackman, OD
NPI #1558111575 in King, North Carolina
Provider Information
- NPI Number
- 1558111575
- Entity Type
- Individual
- Name
- Jacob Blackman, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Mar 25, 2024
- Last Updated
- Sep 3, 2025
Practice Location
- Address
- 306 KIRBY RD
- City
- King
- State
- North Carolina
- ZIP Code
- 27021-9493
- Phone
- (336) 983-4313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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