Blanco Kays Corgiat Eyecare LLC
A Medicare group practice based in Spring Valley, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436317807), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436317807
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120215000464 | IL | Part B Supplier - Clinic/Group Practice | 1215204169 |
| O20120302000515 | IL | DME Supplier - Physician - Optometrist | 1215204169 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Blanco Kays Corgiat Eyecare, LLC
- Optometrist
- Spring Valley, IL
- NPI 1215204169
-
Blanco Kays Corgiat Eyecare, LLC
- Optometrist
- Morris, IL
- NPI 1568647634
Practice locations
- Spring Valley, IL2
- Morris, IL1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Jeffrey J Blanco, O.D.
- Optometrist
- Morris, IL
- NPI 1952454191
-
Elise M Corgiat, OD
- Optometrist
- Morris, IL
- NPI 1831182328
-
Ryan H Kays, OD
- Optometrist
- Morris, IL
- NPI 1578640744
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.