Mary C Blatt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03121 Issued in MO

Practice address

450 N New Ballas Rd
Dept Ophthalmology, Ste 260
Saint Louis, MO 63141-6859

Phone

(314) 362-3937

Fax

(866) 505-8818

NPI assigned

Jun 16, 2005

Last updated

May 9, 2024By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Mercy Health Services LLCGroup PAC ID 2264329168, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

71.6

Promoting interoperability

100

Improvement activities

40

Cost

75.75

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.

• Mercy Clinic Ophthalmology LLC

  • Ophthalmology Physician
  • Washington, MO
  • NPI 1003179656
  Medicare reassignment Care Compare group NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Saint Louis, MO
  • NPI 1730224478

  Optometrist

  Medicare reassignment Care Compare group NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Independence, MO
  • NPI 1649203308
  Medicare reassignment NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1013957562
  Medicare reassignment NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Washington, MO
  • NPI 1164567897

  Optometrist

  NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1962442475
  NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Mercy Health Services, LLC

  dba Mercy Eye Care

  • Eyewear Supplier
  • Saint Louis, MO
  • NPI 1992881973

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1437154499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-362-3937",
            "fax_number": "866-505-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "DEPT OPHTHALMOLOGY, STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416859",
            "telephone_number": "314-362-3937",
            "fax_number": "866-505-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317834034",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "450 N New Ballas Rd",
            "address_2": "DEPT OPHTHALMOLOGY, STE 260",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Blaskow
• Stacy Blassingame, PLPC
• Jeffrey Alan Blatnik, MD
• Terra Rupert Blatnik, MD
• Andrew N Blatt, MD
• Joshua Andrew Blatter, MD
• De-Andrea Blaylock-Solar, MSW, LCSW, CST
• Emily Thompson Blazevic
• James Blazier
• Carolyn Blechle, M.S.

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.