Jacob Blackman, OD
Optometrist · King, NC
Jacob Blackman, OD is an optometrist with a practice address in King, North Carolina, and NPI 1558111575, issued on Mar 25, 2024. Check the license (North Carolina 2805, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Blackman
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 2805 NC
Self-reported in NPPES; status is on the state search - Practice location
- 306 Kirby RD, King, NC 27021
- Phone
- (336) 983-4313
- Enumerated
- Mar 25, 2024
- Record last updated
- Sep 3, 2025
- Fax
- (336) 983-3500
- Medicare enrollment
- Enrolled (PECOS I20250625002541); accepts Medicare assignment
- Medical or professional school
- Southern College Of Optometry, 2024
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,480 in North Carolina → Look up another NPI →
Verify Jacob Blackman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 2805Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $247.45
2 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Triad Eye Associates OD PAArchdale, NC
- Triad Eye Associates OF King PLLCKing, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Blackman among 1,480 optometrist records in North Carolina
Jacob Blackman, OD is one of 1,480 optometrist records with a practice address in North Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 94% of them.
- NPI issued2024 · 94% of these records are older, 2% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2024 · median 2006 among the 1,060 with a school on file
- Record last updated2025 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 optometrist records list a practice address in King
They are 6 of the 155 NPPES records with a practice address in King, and 1,480 optometrist records in North Carolina.
All 1,480 in North Carolina → Every provider in King → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Amanda Culler, ODKing, NC 270211902454937
- Candice Fix, ODKing, NC 270211528253853
- Sonja Makitan, ODKing, NC 270211306605324
- Makayla Sperbeck, ODKing, NC 270211215736632
- Kevin Walker, O.D.King, NC 270211528069234
- Rickey Sipe, O.D.Lewisville, NC 270231346222403
- Amy Buchanan Keene, O.D.Dobson, NC 270171114295789
- Brent Johnson, ODMadison, NC 270251235239641
Common questions
What is Jacob Blackman, OD's NPI number?
Jacob Blackman, OD's National Provider Identifier (NPI) is 1558111575, issued on Mar 25, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Blackman, OD located?
The NPPES record lists a practice address at 306 Kirby RD, King, NC, 27021. Phone: (336) 983-4313. Providers update this record themselves, so call before visiting.
How can I verify Jacob Blackman, OD's license?
NPPES lists North Carolina license number 2805, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.