Search › North Carolina › 152W00000X

Jacob Blackman, OD

NPI 1558111575 · on the registry since 2024 · sole proprietor

Practice

Address
306 Kirby Rd
King, NC 27021
Phone
(336) 983-4313
Fax
(336) 983-3500
Organisation at this address
Beth Warren
Triad Eye Associates Of King Pllc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 10564 N Main St Ste E, Archdale, NC
  • 6425 Old Plank Rd Ste 105, High Point, NC

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina