JON D BLACKMAN (NPI# 1619933900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619933900 |
| Entity Type | Individual |
| Full Name | JON D BLACKMAN |
| Credential | OD |
| Practice Address |
225 Church St Dean Medical Center Stoughton WI 53589-1801 |
| Practice Telephone | 6088772700 |
| Practice Fax Number | 6088772726 |
| Mailing Telephone | 6088772700 |
| Mailing Fax Number | 6088772726 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1400-035 | WI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366609422 | Jon Arthur Blackman | Family Medicine | 2456 Nw Sacagawea Ln, Bend, OR 97701-5722 | 2008-05-16 |
| Street Address |
225 CHURCH ST DEAN MEDICAL CENTER |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023667797 | Clare Tillman Kuehl | Nurse Practitioner | 225 Church St, Stoughton, WI 53589-1801 | 2019-09-05 |
| 1205312923 | Kristin Leigh Docter | Registered Nurse | 225 Church St, Stoughton, WI 53589-1801 | 2018-07-16 |
| 1326492174 | Christina A Quale | Family Medicine | 225 Church St, Stoughton, WI 53589-1801 | 2016-04-18 |
| 1679959829 | Annmarie Kathleen Ransom | Nurse Practitioner | 225 Church St, Stoughton, WI 53589 | 2015-08-10 |
| 1851785356 | Sandra M Draus | Nurse Practitioner | 225 Church St, Stoughton, WI 53589-1801 | 2015-03-23 |
| 1124436118 | Pamela S Mahaffey | Registered Nurse | 225 Church St, Stoughton, WI 53589-1801 | 2014-07-23 |
| 1326476417 | Kaye Mcgrath | Nurse Practitioner | 225 Church St, Stoughton, WI 53589-1801 | 2013-10-28 |
| 1689922890 | Neil C. Johnson | Nurse Practitioner | 225 Church St, Stoughton, WI 53589 | 2012-08-20 |
| 1134487028 | Laura D Stolcpart | Family Medicine | 225 Church St, Stoughton, WI 53589-1801 | 2012-04-27 |
| 1023334448 | Robert E. Terbrack | Family Medicine | 225 Church St, Stoughton, WI 53589-1801 | 2010-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| 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 |
|---|---|---|---|---|
| 1942593389 | Andrew James Lindell | Optometrist | 2300 Us Highway 51 and 138, Suite E, Stoughton, WI 53589-2080 | 2011-05-18 |
| 1568503472 | Fatima Garcia-fedorowicz | Optometrist | 84 Pearl St, Stoughton, MA 02072-2350 | 2007-02-12 |
| 1558459800 | Cobb Corner Eye Care | Optometrist | 89 Sharon St, Stoughton, MA 02072-2011 | 2006-10-11 |
| 1316058522 | Bob M Rosemark | Optometrist | 360 Washington St, Stoughton, MA 02072-1760 | 2006-08-31 |
| 1336688100 | Patel Eyecare Associates, Inc | Optometrist | 1 Hawes Way, Stoughton, MA 02072-1162 | 2017-02-14 |
| 1043665482 | Stoughton Eye Care & Eyewear LLC | Optometrist | 2300 Us Highway 51 and 138, Suite E, Stoughton, WI 53589-2080 | 2016-05-03 |
| 1083089882 | Progressive Family Eyecare LLC | Optometrist | 105 Kings Lynn Rd, Stoughton, WI 53589-1999 | 2015-12-04 |
| 1114329083 | Stoughton Optometric Care Inc | Optometrist | 84 Pearl St, Stoughton, MA 02072-2350 | 2014-09-22 |
| 1447546718 | Shelly Lee Skjolaas-lindell | Optometrist | 2300 Us Highway 51 and 138, Ste E, Stoughton, WI 53589-2080 | 2011-06-24 |
| 1730498460 | Komal T Patel | Optometrist | 1 Hawes Way, Stoughton, MA 02072-1162 | 2010-09-29 |
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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.