Jason M Bleazard, O.D.
Individual provider Active NPI Optometrist · Kennewick, WA
NPI 1467734889 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1467734889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OD60231221 (WA)
- Practice address
- 8503 W Clearwater Ave Ste a
Kennewick, WA 99336-3100 - Phone
- (509) 943-6565
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Basin Health Association
Practice addresses (Care Compare)
1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20120801000022 | WA | Practitioner - Optometry | 1951567213 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cantley Vision Inc PS | Optometrist | Current |
Accepting new patients |
| Columbia Basin Health Association | Current |
Accepting new patients | |
| Columbia Basin Health Association | Current |
Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Past | Accepting new patients |
Locations
8503 W Clearwater Ave
Ste A
Kennewick, WA 99336
Phone (509) 735-2050
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
140 E Main St
Othello, WA 99344
Phone 50948852562034
475 N 14th Ave
Othello, WA 99344
Phone (425) 823-4000
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512
7405 Three Rivers Dr
Pasco, WA 99301
Phone 5094885256 ext. 8512
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60231221 | WA | Yes |
Addresses
Primary practice location
8503 W Clearwater Ave Ste a
Kennewick, WA 99336-3100
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020602 | Medicaid | WA |
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. 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.