DR. JOHN C. BLACKENBURG (O.D.) – Optometrist, NPI 1275563694

DR. JOHN C. BLACKENBURG (O.D.) is a healthcare provider. based in Miramar beach, Florida. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. S498-TA014 (AL). The NPI Number for DR. JOHN C. BLACKENBURG (O.D.) is 1275563694

Main info

Male
Sole Proprietor
Name
DR. JOHN C. BLACKENBURG (O.D.)
NPI
1275563694
Phone
(850) 622-0364
Address
2080 OLDE TOWNE AVE
Enumeration Date
3 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN C. BLACKENBURG (O.D.)

  • 2080, Olde Towne Avenue, Miramar Beach, Walton County, Florida, 32550, United States

    MIRAMAR BEACH, FL 325506500

    Phone: (850) 622-0364

    Fax: (850) 622-0364

    Type: Mailing

  • 700, Dallas Avenue, Water Avenue Historic District, Sunset Mill Village, Selma, Dallas County, Alabama, 36701, United States

    SELMA, AL 367015451

    Phone: (850) 622-0364

    Fax: (850) 622-0364

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32550)

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Reviews

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Frequently asked questions

What identifier follows DR. JOHN C. BLACKENBURG (O.D.) across health systems?
The NPI 1275563694 uniquely identifies DR. JOHN C. BLACKENBURG (O.D.) in U.S. healthcare data.
Is DR. JOHN C. BLACKENBURG (O.D.)'s NPI status active today?
Active status means DR. JOHN C. BLACKENBURG (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JOHN C. BLACKENBURG (O.D.)?
NPPES ties DR. JOHN C. BLACKENBURG (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN C. BLACKENBURG (O.D.)?
DR. JOHN C. BLACKENBURG (O.D.) shows a connection to Miramar Beach, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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