Active NPI
Bridget A. Blandina, O.D.
- Optometrist
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA 1331
- Practice address
- 3200 N Ridge Rd
Ellicott City, MD 21043-3363 - Phone
- (410) 418-5112
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG004090 | PA | |
| Optometrist | 152W00000X | TA 1331 | MD | Primary |
Addresses
Primary practice location
3200 N Ridge Rd
Ellicott City, MD 21043-3363
Mailing address
3200 N Ridge Rd
Ellicott City, MD 21043-3363
Phone (410) 418-5112
Other practice location 1
44 E Broad St
Bethlehem, PA 18018-5947
Phone (610) 867-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
390 Route 315 Hwy
Pittston, PA 18640
390 Route 315 Hwy
Pittston, PA 18640-3903
Phone (570) 883-9696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA 1331 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
Locations
44 E Broad St
Bethlehem, PA 18018
Phone (570) 420-4551
125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780
2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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
- Carlisle, PA
- NPI 1003264607
-
- Optometrist
- Cranberry Township, PA
- NPI 1093688491
-
- Optometrist
- Mechanicsburg, PA
- NPI 1396323317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1629178223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 N RIDGE RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433363",
"telephone_number": "410-418-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N RIDGE RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433363",
"telephone_number": "410-418-5112"
}
],
"practiceLocations": [
{
"address_1": "44 E Broad St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180185947",
"country_code": "US",
"telephone_number": "610-867-0588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANDINA",
"first_name": "BRIDGET",
"middle_name": "A.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG004090",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA 1331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.