Blackburn, John Devin
Blackburn, John Devin is an sole proprietor health care provider with primary practice located at 7409 N Cedar Ave #103, Fresno CA 93720-3836. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blackburn, John Devin can be contacted via phone (559) 439-3937.Contact Information
Primary practice address
7409 N Cedar Ave #103
Fresno CA 93720-3836
Phone: (559) 439-3937
Fax: (559) 325-9313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11297TPL | California |
Profile Details
| NPI number | 1093777864 |
|---|---|
| LBN Legal business name | Blackburn, John Devin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Feb 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093777864 | NPPES |
| California | MEDICAID | SD0112970 |
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