Organization Active NPI

Blink Optometry PC

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1376352252
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLINK OPTOMETRY PC
Practice address
2205 Orange Ave NE
Roanoke, VA 24012-8305
Phone
(540) 343-2197
Fax
(540) 343-3575
NPI assigned
Jan 6, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Angela Stewart, ODNPI 1124068606
Title
Owner
Phone
(540) 343-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717000727 VA Part B Supplier - Clinic/Group Practice 6800301839 Receives reassigned benefits from 2 practitioners
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2205 Orange Ave NE
Roanoke, VA 24012-8305

Mailing address

2205 Orange Ave NE
Roanoke, VA 24012-8305
Phone (540) 343-2197

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2025.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1376352252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 ORANGE AVE NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128305",
            "telephone_number": "540-343-2197",
            "fax_number": "540-343-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 ORANGE AVE NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128305",
            "telephone_number": "540-343-2197",
            "fax_number": "540-343-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-343-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.