IndividualActive
John Blackenburg, O.D.
NPI 1275563694 · Optometrist · Selma, AL
John Blackenburg, O.D. is a Optometrist provider in Selma, AL (NPI 1275563694).
Provider details
- NPI number
- 1275563694
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- S498-TA014 (AL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Dallas Ave
Selma, AL 36701-5451
Phone: (850) 622-0364
Fax: (850) 622-0364
Street-level locationGet directions
Mailing address
2080 Olde Towne Ave
Miramar Beach, FL 32550-6500
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Blackenburg's NPI number?
- John Blackenburg's National Provider Identifier (NPI) is 1275563694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Blackenburg's specialty?
- John Blackenburg is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is John Blackenburg located?
- John Blackenburg's practice location on file with NPPES is 700 Dallas Ave, Selma, AL 36701-5451.
- What is John Blackenburg's phone number?
- The practice phone number listed in the NPPES registry for John Blackenburg is (850) 622-0364.
- Is John Blackenburg's NPI active?
- Yes — John Blackenburg's NPI (1275563694) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.