Blackmon & Blackmon Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

693-077T Issued in LA

Legal business name

BLACKMON & BLACKMON INC

Practice address

303 McMillan Rd
West Monroe, LA 71291-8316

Phone

(318) 387-7257

Fax

(318) 325-7034

NPI assigned

Feb 7, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry E Blackmon, ODNPI 1902944341

Title

Optometrist/Owner

Phone

(318) 387-7257

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry E Blackmon, O.D.

  • Optometrist
  • West Monroe, LA
  • NPI 1902944341
  NPD (past) Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1992983340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918316",
            "telephone_number": "318-387-7257",
            "fax_number": "318-325-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918316",
            "telephone_number": "318-387-7257",
            "fax_number": "318-325-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMON & BLACKMON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "318-387-7257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "693-077T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Petrus Bimle, MD
• Kaitlyn Bingham, SLP
• Bio-Medical Applications of Louisiana, LLC (Bma Ouachita Dialysis)
• Bionet Medical LLC
• Marilyn Grisham Bivens, M.D.
• Larry E Blackmon, O.D.
• Lauren Sledge Blackmon, SLP
• Megan Blackwell
• Nancy Blanchard, EDS, NCC, LPC
• Laura Blaylock, PHYSICAL THERAPIST

• Optometrist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.