Jacob Blackman, OD - Optometrist in King, NC

Jacob Blackman, OD is a Optometrist based in King, North Carolina. Jacob Blackman is licensed to practice in North Carolina (license number 2805) and his current practice location is 306 Kirby Rd, King, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 983-4313.

NPI number for Jacob Blackman is 1558111575 and his current mailing address is Po Box 4370, Archdale, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558111575.

Contact Information

Jacob Blackman, OD
306 Kirby Rd,
King, NC 27021-9493
(336) 983-4313
(336) 983-3500

Map and Direction




Healthcare Provider's Profile

Full NameJacob Blackman
GenderMale
SpecialityOptometrist
Location306 Kirby Rd, King, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558111575
  • Provider Enumeration Date: 03/25/2024
  • Last Update Date: 09/03/2025

Medical Identifiers

Medical identifiers for Jacob Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558111575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2805 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Blackman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Blackman, OD
Po Box 4370,
Archdale, NC 27263-4370

Ph: (336) 687-7730
Jacob Blackman, OD
306 Kirby Rd,
King, NC 27021-9493

Ph: (336) 983-4313

Reviews and Comments


Optometrist in King, NC

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Makayla Shore Sperbeck, OD
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Practice Location: 141 Spruce Pine Way Ste C, King, NC 27021
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Beth Warren
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Phone: 336-983-4313    Fax: 336-983-3913
Sonja Makitan, OD
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Practice Location: 141 Spruce Pine Way Ste C, King, NC 27021
Phone: 336-409-9122    Fax: 336-642-5661
Magnolia Eye Care, O.d. Pllc
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Practice Location: 141 Spruce Pine Way, Suite C, King, NC 27021
Phone: 336-407-7197    
Triad Eye Associates Of King Pllc
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Medicare: Medicare Enrolled
Practice Location: 306 Kirby Rd, King, NC 27021
Phone: 336-983-4313    
Dr. Kevin Roger Walker, O.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 215 Moore Rd, King, NC 27021
Phone: 336-985-2020    Fax: 336-985-2133

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.