Blinq LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001467 Issued in VA

Legal business name

BLINQ LLC

Practice address

1449 Tomcat Blvd
Building 292
Virginia Beach, VA 23460-2177

Phone

(757) 758-1100

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rahim Kanji, O.D.

Title

Ceo

Phone

(757) 758-1100

Specialties & licenses 1

Addresses

Other names 1

• Excel Family Optometry Doing business as

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1184079378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 TOMCAT BLVD",
            "address_2": "BUILDING 292",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602177",
            "telephone_number": "757-758-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 TOMCAT BLVD",
            "address_2": "BUILDING 292",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602177",
            "telephone_number": "757-758-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "KANJI",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-758-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.