Blackwelder Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLACKWELDER OPTOMETRY, PLLC

Practice address

12000 Manchaca Rd Ste B
Austin, TX 78748-3786

Phone

(512) 358-8200

Fax

(512) 358-0376

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Sarah Blackwelder, ODNPI 1487184818

Title

Owner

Phone

(949) 636-0121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Sarah Blackwelder, OD

  • Optometrist
  • Austin, TX
  • NPI 1487184818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1972130862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MANCHACA RD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483786",
            "telephone_number": "512-358-8200",
            "fax_number": "512-358-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MANCHACA RD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483786",
            "telephone_number": "512-358-8200",
            "fax_number": "512-358-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELDER OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BLACKWELDER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-636-0121",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blackmon, PH.D.
• Terry Blackmon
• April Blackmore, LM
• Ashley Marie Blackshare, FNP-C
• Shannon Blackstock, RN, CPNP
• Sarah Blackwelder, OD
• Charles D Blackwell, PHARM. D.
• Jillian Leah Blackwell, PHARMD
• Rebecca J Blackwell
• Lisa Blackwood, LPC

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.