Blink, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1054-IOD Issued in WV

Legal business name

BLINK, INC.

Practice address

3942 Davis Stuart Rd
Ronceverte, WV 24970

Phone

(304) 793-3937

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krista Adams, ODNPI 1851531297

Title

President

Phone

(304) 793-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Blink2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blink, Inc.

  dba The Eye Center of Greenbrier Valley

  • Eyewear Supplier
  • Ronceverte, WV
  • NPI 1871072066
  NPD tax ID

Locations

Practitioners 1

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.

• Krista N Adams, O.D.

  • Optometrist
  • Ronceverte, WV
  • NPI 1851531297
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1245717065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 DAVIS STUART RD.",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 DAVIS STUART RD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-793-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-793-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1054-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bilger, CRNA
• Andrea Bird
• BJSM Med Inc
• Tonia Michelle Blankenship, LMT
• Michael Vaughn Baxter Bledsoe, D.O.
• Blink, Inc. (The Eye Center of Greenbrier Valley)
• Brittany Bonner
• Thomas C Booth II
• Jessica E Bower, DPT
• Scott Edward Bowerman

• Optometrist in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.