# BLACKMON & BLACKMON INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992983340
- **Authorized official:** DR. LARRY E BLACKMON OD (OPTOMETRIST/OWNER)
- **Authorized official phone:** (318) 387-7257

## Contact information

- **Practice address:** 303 MCMILLAN RD, WEST MONROE, LA 71291-8316
- **Practice address phone:** (318) 387-7257
- **Practice address fax:** (318) 325-7034
- **Mailing address:** 303 MCMILLAN RD, WEST MONROE, LA 71291-8316
- **Mailing address phone:** (318) 387-7257
- **Mailing address fax:** (318) 325-7034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 693-077T | LA | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 04/24/2008