Individual provider Active NPI

John Peter Blink II, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1003544511
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003834 Issued in CO
Practice address
3620 W 29TH Ave Urban Eyes Vision Care
Denver, CO 80211
Phone
(303) 433-5820
Fax
(303) 433-5869
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003834 CO Primary

Addresses

Primary practice location

3620 W 29TH Ave Urban Eyes Vision Care
Denver, CO 80211

Mailing address

3620 W 29TH Ave
Denver, CO 80211
Phone (303) 433-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002099 CO Practitioner - Optometry 4587030069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Eyes Vision Care, P.C.Group PAC ID 2961533633, 2 clinicians

Practice addresses (Care Compare)

3620 W 29TH Ave
Denver, CO 80211-3602
Phone (303) 433-5820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003834COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Eyes Vision Care, P.C. Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Nov 7, 2022 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Nov 7, 2022 Accepting new patients

Locations

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

3620 W 29th Ave
Denver, CO 80211
Phone (303) 433-5820

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1003544511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "303-433-5820",
            "fax_number": "303-433-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 W 29TH AVE URBAN EYES VISION CARE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80211",
            "telephone_number": "303-433-5820",
            "fax_number": "303-433-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINK",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.