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 PllcInferred 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