Organization Active NPI

McBride Blackburn Opticians

  • Durable Medical Equipment & Medical Supplies
  • Lynchburg, VA
National Provider Identifier
1699703272
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 9, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9281339MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004137 VA DME Supplier - Optician 6103945977 Practice locations: Lynchburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
McBride-Blackburn Opticians5525 Fort Ave, Lynchburg, VA 24502-5317(434) 239-3673 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.