Individual provider Active NPI

Jennifer Elizabeth Blaschke Arevalo, O.D.

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1477817005
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7978T Issued in TX
Practice address
1750 E Common St
New Braunfels, TX 78130-6868
Phone
(830) 221-9358
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7978T TX Primary

Addresses

Primary practice location

1750 E Common St
New Braunfels, TX 78130-6868

Mailing address

1750 E Common St
New Braunfels, TX 78130-6868
Phone (830) 221-9358

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120820001191 TX Practitioner - Optometry 7810144250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
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)

1750 E Common St
Suite 1201
New Braunfels, TX 78130-6967
Phone (830) 624-8870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7978TXMDGeneral Practice Dentistry
7978TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nielsen Vision Development Center CurrentSince Oct 1, 2018 Accepting new patients
Blaschke Eye Care PLLC Optometrist CurrentSince Mar 29, 2021 Accepting new patients
Dr. Michael R. Castro & Associates, PLLC Optometrist CurrentSince Jul 3, 2018 Accepting new patients
Nielsen Vision Development Center, LLC PastSince Oct 1, 2018 Accepting new patients

Locations

1750 E Common St
New Braunfels, TX 78130
Phone (830) 221-9358

1928 State Highway 46 W
Ste 110
New Braunfels, TX 78132
Phone (210) 507-7979

1750 E Common St
Ste 1201
New Braunfels, TX 78130
Phone (830) 624-8870

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1477817005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306868",
            "telephone_number": "830-221-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306868",
            "telephone_number": "830-221-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCHKE AREVALO",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7978T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.