Organization Active NPI

Blink Eyecare, PLLC

  • Optometrist
  • Spokane, WA
National Provider Identifier
1174957161
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLINK EYECARE, PLLC
Practice address
3150 E 27TH Ave
Suite 100
Spokane, WA 99223-4919
Phone
(509) 828-4561
Fax
(509) 228-8210
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Amit Makadia, O.DNPI 1831487156
Title
Owner
Phone
(509) 828-4561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3150 E 27TH Ave
Suite 100
Spokane, WA 99223-4919

Mailing address

3150 E 27TH Ave
Suite 100
Spokane, WA 99223-4919
Phone (509) 828-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122001971 WA Part B Supplier - Clinic/Group Practice 4981832847 Receives reassigned benefits from 3 practitioners
Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2316069Blink Eyecare3150 E 27TH Ave Ste 100, Spokane, WA 99223Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3150 E 27th Ave
#100
Spokane, WA 99223
Phone (509) 828-4561

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1174957161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E 27TH AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234919",
            "telephone_number": "509-828-4561",
            "fax_number": "509-228-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 27TH AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234919",
            "telephone_number": "509-828-4561",
            "fax_number": "509-228-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "MAKADIA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-828-4561",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.