Katherine Anne Blaskovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1562 Issued in AZ

Practice address

8752 E Shea Blvd
Suite 125
Scottsdale, AZ 85260-6640

Phone

(480) 991-6432

Fax

(480) 991-2143

NPI assigned

Aug 18, 2006

Last updated

Oct 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Vision IncGroup PAC ID 1658350236, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Vision Inc

  dba Horizon Eye Specialists and Lasik Center

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1184730251

  Optometrist

  Medicare reassignment Care Compare group NPD
• Central Phoenix Eye Care, PLLC

  dba Central Phoenix Eye Care

  • Optometrist
  • Phoenix, AZ
  • NPI 1043246416
  Medicare reassignment NPD
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1366556300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 N SCOTTSDALE RD",
            "address_2": "149",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533682",
            "telephone_number": "219-793-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E SHEA BLVD",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606640",
            "telephone_number": "480-991-6432",
            "fax_number": "480-991-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASKOVICH",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002741",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Blanco
• Erin Teresa Blandford, M.S.
• Jacob Robert Blank, DO
• Elva Elaine Blanks, PH.D.
• Kelly Ann Blanner, ACNP
• Blast Resolve, LLC
• Elliot Blau, DO
• Maria Blazek, NP
• Marcia L Blazer, DDS PC
• Rebecca Elizabeth Blazich

• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.