DR. MICHAEL D BLACKBURN (NPI# 1538144399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538144399 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D BLACKBURN |
| Credential | OD |
| Practice Address |
4960 Valleydale Rd Suite 201 Birmingham AL 35242-4613 |
| Practice Telephone | 2059805152 |
| Practice Fax Number | 2059805154 |
| Mailing Telephone | 2059805152 |
| Mailing Fax Number | 2059805154 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S672TA330 | AL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225236284 | Michael Blackburn | Pharmacist | 30 Foxmoor Dr, Maryville, IL 62062-6731 | 2007-07-10 |
| 1063429652 | Michael Gregory Blackburn | Internal Medicine | 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495 | 2006-08-03 |
| 1649641515 | Michael Blackburn | Audiologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2015-10-16 |
| 1619389525 | Michael Alan Blackburn | Family Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2014-05-27 |
| 1114277662 | Michael Todd Blackburn | Speech-Language Pathologist | 502 4th St Ne, Auburn, WA 98002-5020 | 2012-09-12 |
| 1205057296 | Michael Howard Blackburn | Specialist/Technologist | 210 Sports Dr, Big Rapids, MI 49307-2741 | 2007-05-01 |
| 1114071891 | Michael Blackburn | Counselor | 505 29th St Se, Chartley House, Auburn, WA 98002-7541 | 2007-01-22 |
| 1639134679 | Michael Lowell Blackburn | Physician Assistant | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2006-04-20 |
| Street Address |
4960 VALLEYDALE RD SUITE 201 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255316006 | Oak Mountain Eye Care PC | Optometrist | 4960 Valleydale Rd, Suite 201, Birmingham, AL 35242-4613 | 2005-12-14 |
| 1417196551 | Southern Dental Birmingham, LLC | Dentist | 4960 Valleydale Rd, Ste 100, Birmingham, AL 35242-4613 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1841842275 | Derek Haden | Optometrist | 4233 3rd Ave S Apt 104, Birmingham, AL 35222-2022 | 2019-07-16 |
| 1659933448 | National Vision Inc | Optometrist | 1616 Gadsden Hwy Ste 100, Birmingham, AL 35235-3147 | 2019-07-02 |
| 1487140828 | Lauren Moriah Boudousquie | Optometrist | 700 19th St S # 124, Birmingham, AL 35233-1927 | 2018-07-09 |
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1164914461 | Amy H Vinogradov | Optometrist | 1716 University Blvd # G090a, Birmingham, AL 35233-1816 | 2018-06-01 |
| 1871084723 | John James Bushaw Iv | Optometrist | 800 S Adams Rd Ste 201, Birmingham, MI 48009-7008 | 2018-05-27 |
| 1992215719 | Christopher Hahn Lee | Optometrist | 700 19th St S # Sbrc124, Birmingham, AL 35233-1927 | 2017-10-06 |
| 1215447073 | Myeyedr Optometry of Alabama LLC | Optometrist | 5510 Highway 280 Ste 213, Birmingham, AL 35242-6583 | 2017-10-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
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| 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.