Stanley N. Blackman, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001528B Issued in IN

Legal business name

STANLEY N. BLACKMAN, O.D., P.C.

Practice address

2009 Roosevelt Rd
Suite D
Valparaiso, IN 46383-3765

Phone

(219) 462-5501

Fax

(219) 462-3238

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley N Blackman, O.D.

Title

Owner

Phone

(219) 462-5501

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Lynn Jozwiak, O.D.

  • Optometrist
  • Valparaiso, IN
  • NPI 1902872195
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1134312531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501",
            "fax_number": "219-462-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 ROOSEVELT RD",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833765",
            "telephone_number": "219-462-5501",
            "fax_number": "219-462-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY N. BLACKMAN, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-462-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001528B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1518931310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000084617",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Louise Stamp, MD
• Stan Lelek P.C.
• Meghan Stanfel, RD, CDCES
• Whitney Stanfill, M.ED
• Lauren K. Stanford
• Meagan Michele Starkey, MSW, LCSW
• Gary J Staub, D.C.
• Nicole Stavitz Stavitz, FNP-C
• Kathryn Ann Steiner, OTR
• Kristy Steiner

• Optometrist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.