Randall H Blevins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3721 Issued in OH

Practice address

907 Schneider St SE
North Canton, OH 44720-3774

Phone

(330) 499-1494

Fax

(330) 499-3744

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blevins and Blevins, Inc.Group PAC ID 3678692985, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blevins & Blevins, Inc.

  • Optometrist
  • Louisville, OH
  • NPI 1639336068
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1487760039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SCHNEIDER ST SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203774",
            "telephone_number": "330-499-1494",
            "fax_number": "330-499-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SCHNEIDER ST SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203774",
            "telephone_number": "330-499-1494",
            "fax_number": "330-499-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "RANDALL",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison O Blair, OTR/L
• Jessica Blake, COTA/L
• Kyle C Blandine, PTA
• Blevins & Blevins, Inc.
• Joseph Blevins, OD
• Lynne Blinco, PT
• Emily Bliss
• Myrna Carol Blosser
• Stephanie Blough
• Sarah Blue

• Optometrist in North Canton, OH
• Providers in North Canton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.