Individual provider Active NPI

David Lee Blanton, OD

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1598863698
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1614 Issued in NC
Practice address
16131 Lancaster Hwy
Suite 170
Charlotte, NC 28277
Phone
(704) 541-5500
Fax
(704) 541-5091
NPI assigned
Sep 20, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1614 NC Primary

Addresses

Primary practice location

16131 Lancaster Hwy
Suite 170
Charlotte, NC 28277

Mailing address

16131 Lancaster Hwy Ste 170
Charlotte, NC 28277-2033
Phone (704) 541-5500

Other identifiers 1

IdentifierTypeStateIssuer
09312XOtherNCBC BS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071002000833 NC Practitioner - Optometry 7810096617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Askary Blanton and Assoicates OD PLLCGroup PAC ID 2466551262, 2 clinicians

Practice addresses (Care Compare)

16131 Lancaster Hwy
Suite 170
Charlotte, NC 28277-3883
Phone (704) 541-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1614NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Askary Blanton & Assoicates OD PLLC Optometrist CurrentSince Jul 1, 2011 Accepting new patients
Dr Andrew G Hahn and Associates Optometry PA Optometrist Past Accepting new patients

Locations

16131 Lancaster Hwy
Ste 170
Charlotte, NC 28277
Phone (704) 541-5500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1598863698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 LANCASTER HWY STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772033",
            "telephone_number": "704-541-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 LANCASTER HWY",
            "address_2": "SUITE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-541-5500",
            "fax_number": "704-541-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NC",
            "identifier": "09312X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.