Jacob Blackman, OD
NPI 1558111575 · Optometrist · King, NC
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Blackman, OD is a Optometrist provider in King, NC (NPI 1558111575).
Provider details
- NPI number
- 1558111575
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2805 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$247 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 10564 N Main St Ste EArchdale, NC 27263-2483Phone: (336) 434-4033Fax: (336) 434-4035
- 6425 Old Plank Rd Ste 105High Point, NC 27265-3277Phone: (336) 886-7500Fax: (336) 886-7502
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Jacob Blackman's NPI number?
- Jacob Blackman's National Provider Identifier (NPI) is 1558111575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Blackman's specialty?
- Jacob Blackman is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jacob Blackman located?
- Jacob Blackman's practice location on file with NPPES is 306 Kirby Rd, King, NC 27021-9493.
- What is Jacob Blackman's phone number?
- The practice phone number listed in the NPPES registry for Jacob Blackman is (336) 983-4313.
- Does Jacob Blackman accept Medicare?
- Jacob Blackman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Blackman's NPI active?
- Yes — Jacob Blackman's NPI (1558111575) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.