Blackman, Thomas Gibson
Blackman, Thomas Gibson is an sole proprietor health care provider with primary practice located at 208 N Spence Ave , Goldsboro NC 27534-4318. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blackman, Thomas Gibson can be contacted via phone (919) 778-2015.Contact Information
Primary practice address
208 N Spence Ave
Goldsboro NC 27534-4318
Phone: (919) 778-2015
Fax: (919) 778-4808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 561825115 | North Carolina |
Profile Details
| NPI number | 1932299963 |
|---|---|
| LBN Legal business name | Blackman, Thomas Gibson |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932299963 | NPPES |
| North Carolina | MEDICAID | 790907A |
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