Blackburn, Don D

Blackburn, Don D is an individual health care provider with primary practice located at 3105 Limestone Rd Ste 102, Wilmington DE 19808-2147. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optician, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Blackburn, Don D can be contacted via phone (302) 998-1395.

Contact Information

Primary practice address
3105 Limestone Rd Ste 102 Wilmington DE 19808-2147
Phone: (302) 998-1395
Fax: (302) 998-6784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000275 Pennsylvania
Eye and Vision Services Providers / Vision Therapy 152WV0400X OEG000275 Pennsylvania
Eye and Vision Services Providers / Optician 156FX1800X OEG000275 Pennsylvania
Eye and Vision Services Providers / Vision Therapy 152WV0400X I3-0001218 Delaware
Eye and Vision Services Providers / Optometrist 152W00000X I3-0001218 Delaware
Eye and Vision Services Providers / Sports Vision 152WS0006X I3-0001218 Delaware

Profile Details

NPI number 1639271216
LBN Legal business name Blackburn, Don D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639271216 NPPES
Other 341988702 DEVON
Other 3684782 DEVON
Other 221393 DEVON
Other 5178130 DEVON
Other DE03105 DEVON
Other 341988702 DEVON
Other 13029981395 DEVON
Other 258125 DEVON

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