CRAIG BLACKWELL


Address: 1667 Dominican Way, Ste 130, Santa Cruz, CA 95065-1529
Phone: 8314629225

CRAIG BLACKWELL (NPI# 1326041195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326041195
Entity Type Individual
Full Name CRAIG BLACKWELL
Credential MD
Practice Address 1667 Dominican Way
Ste 130
Santa Cruz
CA 95065-1529
Practice Telephone 8314629225
Practice Fax Number 8314626285
Mailing Telephone 8314629225
Mailing Fax Number 8314626285
Enumeration Date 2005-05-24
Last Update Date 2008-08-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology G52516 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G525160 05

Office Location

Street Address 1667 DOMINICAN WAY
STE 130
City SANTA CRUZ
State CA
Zip Code 95065-1529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548436983 Dominican Hospital Foundation Non-Pharmacy Dispensing Site 1667 Dominican Way, 134, Santa Cruz, CA 95065-1518 2008-05-06
1316126436 Christina Luella Manildi Physician Assistant 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065-1518 2007-10-25
1003012329 Linh N Van Dds Inc Clinic/Center 1667 Dominican Way, Suite 232, Santa Cruz, CA 95065-1518 2007-06-24
1043416795 Dignity Health Medical Foundation Clinic/Center 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065-1518 2007-06-21
1750399606 Linh Ngoc Van Dentist 1667 Dominican Way, Suite 232, Santa Cruz, CA 95065-1518 2006-08-04
1134133176 Naomi Elizabeth Silber Specialist 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1518 2006-07-27
1649294190 Nancy Sharon Thorner Specialist 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1518 2006-07-27
1265481949 John L Kaufmann Internal Medicine 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065-1529 2006-05-09
1396711149 Thanh Vu Internal Medicine 1667 Dominican Way, Suite 230, Santa Cruz, CA 95065-1518 2006-02-23
1811986607 David M. Okuji Dentist 1667 Dominican Way, Suite 232, Santa Cruz, CA 95065-1518 2005-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295335743 Mindful Living Psychotherapy Clinic/Center 24340 Ca-78, Ramona, CA 95065 2020-10-26
1265084297 Care From The Heart In Home Services, Inc. In Home Supportive Care 3141 Paul Sweet Road, Santa Cruz, CA 95065 2019-07-10
1215410188 Barry Lynn Keeler Pharmacist Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 2018-09-07
1407212582 Naikan Counseling Center Community/Behavioral Health 3319b Mission Drive, Santa Cruz, CA 95065 2016-01-05
1124461587 Lindsay Mooney Obstetrics & Gynecology 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 2013-04-16
1689911398 Gabriela Alejandra Torres De Fernandez Dentist 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 2013-01-15
1184999211 Shannon Leigh Purpuri Midwife 401 Happy Valley Rd, Santa Cruz, CA 95065 2012-03-22
1619119997 Himabindu Pitta Hospitalist 1555 Soquel Dr., Santa Cruz, CA 95065 2009-04-01
1780834614 Rym C Partridge Dentist 3337 Mission Dr., Santa Cruz, CA 95065 2008-09-29
1710177159 Jill Bewley Acupuncturist 100 Burton Dr, Santa Cruz, CA 95065 2007-08-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245694959 Andrew Xingyu Zhou Ophthalmology 1665 Dominican Way Ste 124, Santa Cruz, CA 95065-1528 2016-04-08
1659457166 Harvey Halperin Ophthalmology 849 Almar Ave, Suite C-152, Santa Cruz, CA 95060-5875 2006-10-27
1902801939 Joshua N. Babad Ophthalmology 515 Soquel Ave, Santa Cruz, CA 95062-2309 2005-06-16
1790013977 Robert C. Jones M.d.medical Corporation Ophthalmology 515 Soquel Ave, Santa Cruz, CA 95062-2309 2009-11-25
1922234129 Ryan Michael St.clair Ophthalmology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2009-06-02
1477767648 Anna Kesler-diaz Ophthalmology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2007-05-09
1881738128 Robert Clair Jones Ophthalmology 515 Soquel Ave, Santa Cruz, CA 95062-2309 2007-02-19
1265588784 Samuel S. Masters Ophthalmology 1663 Dominican Way, Suite 212, Santa Cruz, CA 95065-1527 2007-01-26
1225110810 Jason Luksich Ophthalmology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2006-10-20
1093785123 Robert Rosen Ophthalmology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2006-01-23
Find all providers in SANTA CRUZ

Competitor

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City SANTA CRUZ
Zip Code 95065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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