Blake Webster Dowell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010252 Issued in IL

Practice address

307 S Milwaukee Ave
Libertyville Vision Center
Libertyville, IL 60048-2818

Phone

(847) 362-3444

Fax

(847) 362-4672

NPI assigned

Aug 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Rosin Optical Co., Inc

  • Optometrist
  • Berwyn, IL
  • NPI 1235343641
  Medicare reassignment Care Compare group NPD
• Marvin Harold Heimlich, O.D.

  • Optometrist
  • Libertyville, IL
  • NPI 1316026313
  Medicare reassignment
• Rosin Optical Co. Inc.

  • Optometrist
  • Skokie, IL
  • NPI 1750945408
  NPD
• Rosin Optical Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Niles, IL
  • NPI 1144434143

  Optometrist

  NPD
• Rosin Optical Co., Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1073057634
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1407089147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE",
            "address_2": "LIBERTYVILLE VISION CENTER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482818",
            "telephone_number": "847-362-3444",
            "fax_number": "847-362-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE",
            "address_2": "LIBERTYVILLE VISION CENTER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482818",
            "telephone_number": "847-362-3444",
            "fax_number": "847-362-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "BLAKE",
        "middle_name": "WEBSTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Dolence
• Cora Dollenmaier
• Dorota J Domanski Erdman, PSYD
• Kinsley Donahue, LPC
• Thomas Doporcyk, PHARMD
• Linda S Doyle, NP-C
• Dr Zhongs Family Care
• Dr. Briana Skarbek Chiropractic P.C.
• Dr. Reena Jacob LTD
• Drexler Family Practice S C

• Optometrist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.