Individual provider Active NPI

Jason William Blowe, OD

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1487713293
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002333 Issued in GA
Practice address
3153 Sugarloaf Pkwy
Suite 201
Lawrenceville, GA 30045-9487
Phone
(770) 682-6525
Fax
(770) 682-6527
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002333 GA Primary

Addresses

Primary practice location

3153 Sugarloaf Pkwy
Suite 201
Lawrenceville, GA 30045-9487

Mailing address

3153 Sugarloaf Pkwy
Suite 201
Lawrenceville, GA 30045-9487
Phone (770) 682-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070123000071 GA Practitioner - Optometry 1557362381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3153 Sugarloaf Pkwy
Suite 201
Lawrencevill, GA 30045-9489
Phone (770) 682-6525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002333GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jason Blowe and Associates Optometrist CurrentSince Apr 17, 2017 Accepting new patients

Locations

3153 Sugarloaf Pkwy
Ste 201
Lawrenceville, GA 30045
Phone (770) 682-6525

Organizations & group practices 1

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1487713293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 SUGARLOAF PKWY",
            "address_2": "SUITE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459487",
            "telephone_number": "770-682-6525",
            "fax_number": "770-682-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 SUGARLOAF PKWY",
            "address_2": "SUITE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459487",
            "telephone_number": "770-682-6525",
            "fax_number": "770-682-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOWE",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.