Smith Blanc, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4425 Issued in FL

Practice address

18610 NW 67TH Ave
Hialeah, FL 33015-2406

Phone

(305) 474-0463

Fax

(305) 474-8071

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

Yes

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 FL

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

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.

• Mobile Doctors of Florida PA

  • Optometrist
  • North Bay Village, FL
  • NPI 1720312440
  Medicare reassignment NPD
• Eyes Right Opticians and Eye Doctors, Inc.

  • Optometrist
  • North Miami Beach, FL
  • NPI 1598244907
  NPD Authorized official
• Isee Eyecare Mobile, Inc.

  • Optometrist
  • Coral Springs, FL
  • NPI 1366807653
  NPD (past) Authorized official
• Infiniti Vision Center

  • Optician
  • Miami, FL
  • NPI 1619126646
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1053644666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 NW 37TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652701",
            "telephone_number": "786-897-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "305-474-0463",
            "fax_number": "305-474-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANC",
        "first_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4425",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001597300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deisy Blain Valdes
• Blain Wellness Inc
• Jose Antonio Blain-Soler, CRNA/APRN
• Christopher SC Blaisdell, D.O.
• Kayla Blakney
• Blanca Nelida Gonzalez MD PA
• Marisol Blanchar
• Straider Blanchere, RRT
• Loraine Blanco Alonso
• Rosaura Blanco Blanco

• Optometrist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.