Active NPI
Adonya Blair, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1508979170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007256
- Practice address
- 110 E 55TH St
New York, NY 10022-4540 - Phone
- (212) 759-9617
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007256 | NY | Primary |
Addresses
Primary practice location
110 E 55TH St
New York, NY 10022-4540
Mailing address
110 E 55TH St
New York, NY 10022-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
88 Dunning Rd
Suite 6
Middletown, NY 10940-2220
Phone (845) 692-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007256 | NY | MD | Chiropractor |
| TUV007256 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Clear Vision Corp. | Optometrist | Current | Accepting new patients |
| Professional Eyecare Zona Rosa Inc. | Optometrist | Past | Accepting new patients |
| Professional Eyecare - Bannister | Optometrist | Past | Accepting new patients |
| Adonya Blair, O.D., P.C. | Optometrist | Past | Accepting new patients |
| Professional Eyecare Metro North Inc | Optometrist | Past | Accepting new patients |
| Professional Eyecare Management Inc. | Optometrist | Past | Accepting new patients |
Locations
1101 Amboy Ave
Edison, NJ 08837
Phone (718) 477-6700
88 Dunning Rd
Ste 6
Middletown, NY 10940
Phone (845) 692-5800
Organizations & group practices 6
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.
-
- Optometrist
- Middletown, NY
- NPI 1932273026
-
- Optometrist
- Gladstone, MO
- NPI 1699805218
-
- Optometrist
- Kansas City, MO
- NPI 1245382829
-
- Optometrist
- Lawrence, KS
- NPI 1104305564
-
- Optometrist
- Kansas City, MO
- NPI 1568513836
-
- Optometrist
- Kansas City, MO
- NPI 1336291913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1508979170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 55TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 55TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224540",
"telephone_number": "212-759-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "ADONYA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.