Amy Rachelle Blue, O.D.
Individual provider Active NPI Optometrist · Marion, VA
NPI 1639307010 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1639307010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618001840 (VA)
- Practice address
- 1020 Terrace Dr
Suite 100
Marion, VA 24354-4392 - Phone
- (276) 477-0925
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Envision Professional Group PLLC
Practice addresses (Care Compare)
1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Phone (276) 783-5157
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000527 | VA | Practitioner - Optometry | 6002962693 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001840 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Professional Group, PLLC | Current |
Accepting new patients |
Locations
321 Midway Medical Park
Ste 2
Bristol, TN 37620
Phone (276) 783-5157
2549 W State St
Bristol, TN 37620
699 McBroom St NW
Ste A
Abingdon, VA 24210
Phone (276) 628-1143
2308 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 963-9616
1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157
1020 Terrace Dr
Marion, VA 24354
Phone (276) 783-2511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001840 | VA | Yes |
Addresses
Primary practice location
1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Mailing address
1020 Terrace Dr
Suite 100
Marion, VA 24354-4392
Phone (276) 477-0925
Other providers in Marion, VA
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Emily Jane Bodfish
- David R Boehm
- Kellie Bonsor
- Boothe Chiropractic Clinic
- Boothe Chirpractic Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.