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Deactivated NPI 1639104656 Deactivated / Inactive NPI Male Practitioner

Milton C. Blackman , OPTOMETRIST

Optometrist • Davis, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Milton Blackman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2006
NPI Deactivation Date January 13, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Milton Blackman, OPTOMETRIST was a registered Optometrist practicing in Davis, CA. Throughout an active medical career spanning 15 years, Milton Blackman provided care at the practice location at 231 C ST until profile deactivation on 2021-01-13.

Practice Location & Contact Primary Location

Practice Address

231 C St

Davis, CA 956164521

Telephone 5307584000
Fax 5307584016
Associated Practice Facility / Clinic
🏢 Dennis J Guerrieri Od Inc Facility NPI 1922466895

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Davis, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 4777T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1326524638

Doctor of Optometry

NPI 1366436917

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 13, 2021

Record deactivated on January 13, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 231 C ST, DAVIS, CA 956164521 (Tel: 5307584000)

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Updated Business Mailing Address July 09, 2007

Registered at 231 C ST, DAVIS, CA 956164521 (Tel: 5307584000)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MILTON BLACKMAN, OPTOMETRIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #4777T in CA)

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Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639104656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: July 09, 2007
Deactivation Date: January 13, 2021

Mailing Address

231 C St

Davis, CA 956164521

Phone: 5307584000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.