William Randolph Blodgett, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OEG001014 Issued in PA

Practice address

500 Mill St
Suite a-1
Danville, PA 17821-1015

Phone

(570) 275-0901

Fax

(570) 275-0901

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Southern College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blodgett Optical Inc.

  • Health Service Clinic/Center
  • Danville, PA
  • NPI 1912290537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1043376676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILL ST",
            "address_2": "SUITE A-1",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211015",
            "telephone_number": "570-275-0901",
            "fax_number": "570-275-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILL ST",
            "address_2": "SUITE A-1",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211015",
            "telephone_number": "570-275-0901",
            "fax_number": "570-275-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "WILLIAM",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001014",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "BL750828",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summre Nikkole Blakely-Pasaret, MPH, MD
• James E Bland, MD
• Joseph Alfred Blansfield Jr., MD
• Justin John Blessing, PT
• Blodgett Optical Inc.
• David J Bloom, PA-C
• Megan E. Bloom, CRNP
• Morgan Bloom, PA-C
• Jeremy Bloomfield
• Blake Bloxham

• Corneal and Contact Management Optometrist in Danville, PA
• Providers in Danville, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.