Blink Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLINK OPTICAL LLC

Practice address

904 7TH Ave
Seattle, WA 98104-1132

Phone

(206) 323-3937

NPI assigned

Jun 13, 2012

Last updated

Jan 2, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

THE POLYCLINICAs reported in NPPES

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

Authorized official

Name

Lloyd A. David, CEO

Title

Ceo

Phone

(206) 860-4401

Specialties & licenses 1

Addresses

Other names 1

• Blink Optical at The Polyclinic Madison Center Other name

Part of

Timothy P Carey MD

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Jean Lebar, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1891993523
  NPD (past)
• William D Pentecost, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1255592143
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1205198496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 7TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041132",
            "telephone_number": "206-323-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 7TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041132",
            "telephone_number": "206-323-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK OPTICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE POLYCLINIC",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-860-4401",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blink Optical at The Polyclinic Madison Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shawn Bleichert
• Sara Blenkhorn, OTR/L
• Jamine Rebecca Blesoff, N.D.
• Dustin Blevins
• Vincent Blincoe
• Steven Mark Blinka, MD, PHD
• Laura M. Blinkhorn, MD
• Bliss Medical Center
• Bliss Medical Professionals PLLC
• Clinton Lee Bliss, M.D.

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.