NPIMap

Organization Active NPI

Blenker Family Eye Care LLC

  • Optometrist
  • Madison, WI
National Provider Identifier
1356625412
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2652-035 Issued in WI
Legal business name
BLENKER FAMILY EYE CARE LLC
Practice address
6614 Mineral Point Rd
Madison, WI 53705-4238
Phone
(608) 833-0301
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Julie M Blenker, OD
Title
Optometrist
Phone
(608) 449-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2652-035 WI Primary

Addresses

Primary practice location

6614 Mineral Point Rd
Madison, WI 53705-4238

Mailing address

6614 Mineral Point Rd
Madison, WI 53705-4238
Phone (608) 833-0301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1356625412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-833-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-833-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENKER FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "BLENKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "608-449-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2652-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.