Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon D Blackman, OD

Individual provider Optometrist · NPI 1619933900

Jon D Blackman, OD is an Optometrist in Stoughton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

225 Church St Dean Medical Ctr
Stoughton, WI 53589-1801
Phone: (608) 877-2700
Fax: (608) 877-2726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1400-035 (WI)

Record details

NPI number1619933900
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address225 Church St, Dean Medical Center, Stoughton, WI 53589-1801

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