Sonya Thomas Blizzard, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M-13914 Issued in ID

Practice address

2175 N Main St
Coeur D Alene, ID 83814-5768

Phone

(208) 664-9888

Fax

(208) 666-0816

NPI assigned

Apr 27, 2012

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Yale University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Pediatric Ophthalmology and Strabismus P.L.L.C.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Coeur d'Alene, ID
  • NPI 1104472349
  Medicare reassignment NPD Authorized official
• Empire Eye Physicians PS

  dba Empire Eye Physicians

  • Ophthalmology Physician
  • Spokane Valley, WA
  • NPI 1205939709
  NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1558629535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SELTICE WAY",
            "address_2": "STE A PMB 277",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N MAIN ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145768",
            "telephone_number": "208-664-9888",
            "fax_number": "208-666-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "SONYA",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "P29020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2016-00555",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M-13914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Jason Blain
• Jerry W Blakely II, PT
• Erin Blakley
• Douglas Blaty, D.O.
• Robert Ernest Blease, MD
• Cherilee C Bloom, DDS
• Blooming Minds, Inc
• Blue Sky Planning Services
• Bluebird Holistic Therapy
• Lori Ann Bluemer-Tierney, MPT

• Ophthalmology Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.