Active NPI
McBride Blackburn Opticians
- Durable Medical Equipment & Medical Supplies
- Lynchburg, VA
National Provider Identifier
1699703272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MCBRIDE BLACKBURN OPTICIANS
- Practice address
- 5525 Fort Ave
Lynchburg, VA 24502-5317 - Phone
- (434) 239-3673
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James E Blackburn
- Title
- Optician
- Phone
- (434) 239-3673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5525 Fort Ave
Lynchburg, VA 24502-5317
Mailing address
5525 Fort Ave
Lynchburg, VA 24502-5317
Phone (434) 239-3673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9281339 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930004137 | VA | DME Supplier - Optician | 6103945977 | Practice locations: Lynchburg, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| McBride-Blackburn Opticians | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
5525 Fort Ave
Lynchburg, VA 24502
Phone (434) 239-3573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1699703272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 FORT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025317",
"telephone_number": "434-239-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 FORT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245025317",
"telephone_number": "434-239-3673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCBRIDE BLACKBURN OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "BLACKBURN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "434-239-3673",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9281339",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.