Individual
DR. DON D BLACKBURN
Active
Individual
DR. DON D BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001218
DE
152W00000X
Optometrist
OEG000275
PA
152WS0006X
Sports Vision Optometrist
I3-0001218
DE
152WV0400X
Vision Therapy Optometrist
I3-0001218
DE
152WV0400X
Vision Therapy Optometrist
Primary
OEG000275
PA
156FX1800X
Optician
OEG000275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13029981395
VSP
—
01
—
221393
EYEMED
—
01
—
258125
COVENTRY
DE
01
—
341988702
BCBS
DE
01
—
341988702
DEVON
—
01
—
3684782
AETNA
—
01
—
5178130
AETNA
—
01
—
DE03105
VBA
—
Enumeration date
09/02/2006
Last updated
03/17/2014
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