Colin Patrick Bloor, OD
Individual provider Active NPI Optometrist · Newport, KY
NPI 1437868809 · NPPES record last updated Dec 1, 2022
Key facts
- NPI
- 1437868809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2307DT (KY)
- Practice address
- 142 Pavilion Pkwy
Newport, KY 41071-2884 - Phone
- (859) 291-9464
- NPI assigned
- Nov 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Kentucky PLLC
Practice addresses (Care Compare)
142 Pavilion Pkwy
Newport, KY 41071-2884
Phone (859) 291-9464
339 Crossroads Blvd
Cold Spring, KY 41076-2194
Phone (859) 441-9464
705 Buttermilk Pike
Suite 100
Crescent Springs, KY 41017-1318
Phone (859) 341-3937
8537 US Hwy 42
Suite 4F
Florence, KY 41042-4796
Phone (859) 282-0911
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221229001844 | KY | Practitioner - Optometry | 4981074390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Kentucky, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Kentucky, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Kentucky, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Kentucky, PLLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Past | Accepting new patients |
Locations
339 Cross Roads Blvd
Cold Spring, KY 41076
Phone (859) 441-9464
705 Buttermilk Pike
Ste 100
Crescent Springs, KY 41017
Phone (859) 341-3937
308 N Main St
Cynthiana, KY 41031
Phone (606) 759-7883
8537 US Highway 42
Ste 4F
Florence, KY 41042
Phone (812) 584-8249
142 Pavilion Pkwy
Newport, KY 41071
Phone (859) 291-9464
1543 Main St
Paris, KY 40361
Phone (859) 987-7017
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 2307DT | KY | Yes |
Addresses
Primary practice location
142 Pavilion Pkwy
Newport, KY 41071-2884
Mailing address
8614 Westwood Center Dr
Vienna, VA 22182-2442
Phone (703) 847-8899
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.