Active NPI
Jacquelyn Williams-Blakey, O.D.
- Optometrist
- Detroit, MI
National Provider Identifier
1639217722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- JW003785
- Practice address
- 71 Garfield St.
Ste. 180
Detroit, MI 48201-1911 - Phone
- (313) 974-7299
- Fax
- (313) 974-7525
- NPI assigned
- Feb 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | JW003785 | MI | Primary |
Addresses
Primary practice location
71 Garfield St.
Ste. 180
Detroit, MI 48201-1911
Mailing address
18331 Fairfield St
Detroit, MI 48221
Phone (313) 574-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JW003785 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharper Vision PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Detroit, MI
- NPI 1891201406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1639217722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18331 FAIRFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "48221",
"telephone_number": "313-574-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 GARFIELD ST.",
"address_2": "STE. 180",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011911",
"telephone_number": "313-974-7299",
"fax_number": "313-974-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-BLAKEY",
"first_name": "JACQUELYN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "JW003785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Mikayla William, NURSE PRACTITIONER
- Williams and Associates Counseling and Consulting Services, Inc
- Williams Care Home Help Agency
- Williams Community Living, Inc.
- Williams Home Help Aid
- Barbara Camille Williams-Bryant, LPC
- Sharon Williams-Dean
- Rainesha Williams-Fox
- Tameshia Williams-Jones
- Anjanette Melissa Williams-Kennedy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.