Active NPI
Caroline Adrienne Blackie, O.D., PH.D.
- Optometrist
- Burlington, MA
National Provider Identifier
1326267352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4349
- Practice address
- 50 Mall Rd
Suite 114
Burlington, MA 01803-4537 - Phone
- (781) 229-2020
- Fax
- (781) 229-2025
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4349 | MA | Primary |
Addresses
Primary practice location
50 Mall Rd
Suite 114
Burlington, MA 01803-4537
Mailing address
65 Boston St
North Andover, MA 01845-6203
Phone (978) 208-8561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4349 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326267352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BOSTON ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456203",
"telephone_number": "978-208-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MALL RD",
"address_2": "SUITE 114",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018034537",
"telephone_number": "781-229-2020",
"fax_number": "781-229-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKIE",
"first_name": "CAROLINE",
"middle_name": "ADRIENNE",
"name_prefix": "Dr.",
"credential": "O.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.