What is Jon Blackman's NPI number?

Jon Blackman's National Provider Identifier (NPI) is 1619933900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jon Blackman's specialty?

Jon Blackman is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Jon Blackman located?

Jon Blackman's practice location on file with NPPES is 225 Church St, Stoughton, WI 53589-1801.

What is Jon Blackman's phone number?

The practice phone number listed in the NPPES registry for Jon Blackman is (608) 877-2700.

Is Jon Blackman's NPI active?

Yes — Jon Blackman's NPI (1619933900) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jon Blackman, OD

NPI 1619933900 · Optometrist · Stoughton, WI

Jon Blackman, OD is a Optometrist provider in Stoughton, WI (NPI 1619933900).

Provider details

NPI number: 1619933900
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 1400-035 (WI)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 1400-035 (WI)
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
20 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

225 Church St

Dean Medical Center

Stoughton, WI 53589-1801

Phone: (608) 877-2700

Fax: (608) 877-2726

Street-level locationGet directions

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Mailing address