Kymber Michelle Blaschke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9270T Issued in TX

Practice address

4800 S Hulen St Ste 2720
Fort Worth, TX 76132-1465

Phone

(817) 346-2186

Fax

(817) 370-7902

NPI assigned

Jul 18, 2017

Last updated

Mar 17, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blaschke Eye Care PLLCGroup PAC ID 5991193260, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Blaschke Eye Care PLLC

  dba Elevated Eye Care

  • Optometrist
  • New Braunfels, TX
  • NPI 1417526286
  Medicare reassignment Care Compare group NPD
• Infocus Vision, P.C.

  • Optometrist
  • Fort Worth, TX
  • NPI 1427305283
  Medicare reassignment NPD
• Buda Vision Source PLLC

  • Optometrist
  • Buda, TX
  • NPI 1477809606
  Medicare reassignment
• Infocus Vision Cedar Hill PLLC

  dba InFocus Vision

  • Optometrist
  • Cedar Hill, TX
  • NPI 1639573793
  NPD (past)
• Robert L. Jones O.D., P,a.

  • Optometrist
  • Cedar Hill, TX
  • NPI 1447420856
  NPD (past)

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407379886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S HULEN ST STE 2720",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321465",
            "telephone_number": "817-346-2186",
            "fax_number": "817-370-7902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Fm 1382 Ste 524B",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751041890",
            "country_code": "US",
            "telephone_number": "972-293-7170",
            "fax_number": "972-293-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 North Range St.",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "TX",
            "postal_code": "78164",
            "country_code": "US",
            "telephone_number": "361-649-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASCHKE",
        "first_name": "KYMBER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9270T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Lane Blankenship, PSYD
• Jarrett Blankenship
• Kari Blankenship, D.D.S.
• Oksana Blankenship
• Paul E Blankenship, LPC
• Carly Jean Blasingame, CPNP-PC
• Allison Blassingame, PT, DPT
• McKay Andrew Blatter
• Eddie Blay Jr., M.D
• Lue Blaylock

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.