Dr. Blaha and Associate Optometrists

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000985 Issued in VA

Legal business name

DR. BLAHA AND ASSOCIATE OPTOMETRISTS

Practice address

12407 Jefferson Ave
Suite a
Newport News, VA 23602-4311

Phone

(757) 988-8903

Fax

(757) 988-8903

NPI assigned

Dec 3, 2007

Last updated

Jan 26, 2009By 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. Elina Shvets Blaha, O.D,NPI 1770582108

Title

Owner/Optometrist

Phone

(757) 988-8903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Elina Blaha, O.D.

  • Corneal and Contact Management Optometrist
  • Newport News, VA
  • NPI 1770582108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1285816041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14292",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236080006",
            "telephone_number": "757-988-8903",
            "fax_number": "757-988-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12407 JEFFERSON AVE",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024311",
            "telephone_number": "757-988-8903",
            "fax_number": "757-988-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BLAHA AND ASSOCIATE OPTOMETRISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "BLAHA",
        "authorized_official_first_name": "ELINA",
        "authorized_official_middle_name": "SHVETS",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "757-988-8903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Newport News, VA
• Providers in Newport News, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.