Organization Active NPI

Blade Vision Services LLC

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1427356252
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5931 Issued in OH
Legal business name
BLADE VISION SERVICES LLC
Practice address
11564 Springfield Pike
Cincinnati, OH 45246-3527
Phone
(513) 671-3443
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Pamela Jiselle Blade, O.D.
Title
Optometrist
Phone
(513) 219-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5931 OH Primary

Addresses

Primary practice location

11564 Springfield Pike
Cincinnati, OH 45246-3527

Mailing address

PO Box 111
South Lebanon, OH 45065-0111
Phone (513) 319-6054

National Provider Directory

National Provider Directory

Locations

101 Montgomery Mall
North Wales, PA 19454
Phone (215) 361-2400

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1427356252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450650111",
            "telephone_number": "513-319-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11564 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463527",
            "telephone_number": "513-671-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADE VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BLADE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JISELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "513-219-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.