William M Blackman Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

016312 Issued in GA

Practice address

1111 Professional Blvd
Dalton, GA 30720-2588

Phone

(706) 226-2020

Fax

(706) 217-2876

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Eye Associates Inc

  • Eyewear Supplier
  • Dalton, GA
  • NPI 1952305922
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Fort Oglethorpe, GA
  • NPI 1174988232
  NPD (past)
• Professional Eye Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Dalton, GA
  • NPI 1467456442
  NPD (past)
• Professional Eye Associates, Inc.

  • Eyewear Supplier
  • Calhoun, GA
  • NPI 1770678948

  Ophthalmology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1114929478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-2020",
            "fax_number": "706-217-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-2020",
            "fax_number": "706-217-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "016312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060398A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Lee Biddy
• Martha E Bidiuc, MD
• Abdullah Salah Abdullah Binsaeedu, M.B.B.S.
• Bio-Medical Applications of Georgia, Inc.
• Biotech Labs LLC
• James C Blackwell, M.D.
• Blue Lake Health, LLC
• Brandon Woodrow Boggess, LMSW
• Vincent Blake Boling, CRNA
• Ryan Bonanno, ATC

• Ophthalmology Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.