Blink Eye Care and Eye Wear OD., PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1894 Issued in NC

Legal business name

BLINK EYE CARE AND EYE WEAR OD., PA

Practice address

16618 Riverstone Way
Charlotte, NC 28277-3823

Phone

(704) 817-3800

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Macintyre Raykovicz, O.D.NPI 1275587495

Title

President

Phone

(704) 817-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Tracy Macintyre Raykovicz, O.D.

  • Optometrist
  • Monroe, NC
  • NPI 1275587495
  Medicare reassignment Care Compare group NPD Authorized official
• Charlene Keating Henderson, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1083866610
  Medicare reassignment Care Compare group NPD
• Caitlin Anne Rustemeyer, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1942795851
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1356675532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16618 RIVERSTONE WAY",
            "address_2": "SUITE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775746",
            "telephone_number": "704-817-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 RIVERSTONE WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773823",
            "telephone_number": "704-817-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK EYE CARE AND EYE WEAR OD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "RAYKOVICZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MACINTYRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-817-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Maurice Blevins Sr., CSAC
• Monica Nicole Blevins, PA
• William Charles Blevins
• BLH Consultation Inc
• Erika Joy Bliek, PHARMD
• Bliss Home Based Primary Medical Care
• Susan Bliss
• Blissful Counseling & Consulting, PLLC
• Blissful Living Senior Care Inc
• Blissfull Living Care LLC

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.