Blevins & Blevins, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3721 Issued in OH

Legal business name

BLEVINS & BLEVINS, INC.

Practice address

907 Schneider St SE
North Canton, OH 44720-3774

Phone

(330) 499-1494

Fax

(330) 499-3744

NPI assigned

Jun 27, 2007

Last updated

Jan 30, 2014By 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

Randall H Blevins, O.D.NPI 1487760039

Title

Owner

Phone

(330) 499-1494

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blevins & Blevins, Inc.

  dba Louisville Vision Center

  • Optometrist
  • Louisville, OH
  • NPI 1639336068

  O20120402000400

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Blevins & Blevins, Inc.

  dba Louisville Vision Center

  • Optometrist
  • Louisville, OH
  • NPI 1639336068
  NPPES parent name

Practitioners 4

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.

• Randall H Blevins, O.D.

  • Optometrist
  • North Canton, OH
  • NPI 1487760039
  Authorized official Same address or phone
• Joseph Blevins, OD

  • Optometrist
  • North Canton, OH
  • NPI 1861124257
  NPD
• Haley A Duhaime, O.D.

  • Optometrist
  • Louisville, OH
  • NPI 1508867953
  NPD
• Mark L. Mason, O.D.

  • Optometrist
  • North Canton, OH
  • NPI 1770699340
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1346447117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SCHNEIDER ST SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203774",
            "telephone_number": "330-499-1494",
            "fax_number": "330-499-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SCHNEIDER ST SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203774",
            "telephone_number": "330-499-1494",
            "fax_number": "330-499-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEVINS & BLEVINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-499-1494",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BJ's Wholesale Club Inc.
• Pamela Blackson, PT
• Madison O Blair, OTR/L
• Jessica Blake, COTA/L
• Kyle C Blandine, PTA
• Joseph Blevins, OD
• Randall H Blevins, O.D.
• Lynne Blinco, PT
• Emily Bliss
• Myrna Carol Blosser

• Optometrist in North Canton, OH
• Providers in North Canton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.