Kurt Blaettler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

824 Issued in SC

Practice address

2808 E. North Ave.
Anderson, SC 29625-2300

Phone

(864) 226-6041

Fax

(864) 226-1299

NPI assigned

May 23, 2006

Last updated

Feb 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

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

University of Houston - College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision of Anderson PAGroup PAC ID 8224303227, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Vision of Anderson PA

  dba Family Vision

  • Optometrist
  • Anderson, SC
  • NPI 1629121165
  Medicare reassignment Care Compare group NPD
• Family Vision PC

  • Optometrist
  • Anderson, SC
  • NPI 1427552447
  Authorized official Same address or phone

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1093760555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221986",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 E. NORTH AVE.",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252300",
            "telephone_number": "864-226-6041",
            "fax_number": "864-226-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAETTLER",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "T251563775",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "T251563776",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D08249",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley S Black, APRN-BC
• Jade Galloway Black, MCD,CCC-SLP
• Jessica Miles Black
• Joseph Issac Blackwell
• Tiffany Blackwell
• Bobbie Blake
• Justin Tate Blakey
• Alan E Blanchard, DDS
• Sarah Bland, DC
• Dalton Blankenship

• Optometrist in Anderson, SC
• Providers in Anderson, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.