Blake A Housler, OD
Individual provider Active NPI Optometrist · Kane, PA
NPI 1285018952 · NPPES record last updated Jul 13, 2015
Key facts
- NPI
- 1285018952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG003042 (PA)
- Practice address
- 175 N Fraley St
Kane, PA 16735-1164 - Phone
- (814) 837-7880
- Fax
- (814) 837-0883
- NPI assigned
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
175 N Fraley St
Kane, PA 16735-1164
215 W Main St
Allegheny Eye Care
Smethport, PA 16479-1259
Phone (814) 887-2920
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 31 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014000066 | PA | Practitioner - Optometry | 1153630157 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blake a Housler OD Inc | Optometrist | Current |
Accepting new patients |
Locations
175 N Fraley St
Kane, PA 16735
Phone (814) 837-7880
215 W Main St
Smethport, PA 16749
Phone (814) 837-7880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003042 | PA | Yes |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OEG003042 | PA |
Addresses
Primary practice location
175 N Fraley St
Kane, PA 16735-1164
Mailing address
175 N Fraley St
Kane, PA 16735-1164
Phone (814) 837-7880
Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.