NPIMap

Organization Active NPI

Blevins & Blevins, Inc.

Doing business as Louisville Vision Center

  • Optometrist
  • Louisville, OH
National Provider Identifier
1639336068
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3739 Issued in OH
Legal business name
BLEVINS & BLEVINS, INC.
Doing business as
Louisville Vision Center
Practice address
503 E Main St
Louisville, OH 44641-1421
Phone
(330) 875-2300
Fax
(330) 875-4110
NPI assigned
May 22, 2008
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BLEVINS & BLEVINS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Mary L Blevins, O.D.NPI 1275612525
Title
Owner
Phone
(330) 875-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 3739 OH Primary

Addresses

Primary practice location

503 E Main St
Louisville, OH 44641-1421

Mailing address

503 E Main St
Louisville, OH 44641-1421
Phone (330) 875-2300

Other identifiers 2

IdentifierTypeStateIssuer
410046640OtherOHRAILROAD MEDICARE
0561315MedicaidOH

Other names 1

  • Louisville Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000400 OH Part B Supplier - Clinic/Group Practice 3678692985 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Louisville, OH; North Canton, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
North Canton Vision Cen

Locations

907 Schneider St SE
North Canton, OH 44720
Phone (330) 499-1494

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1639336068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411421",
            "telephone_number": "330-875-2300",
            "fax_number": "330-875-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411421",
            "telephone_number": "330-875-2300",
            "fax_number": "330-875-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEVINS & BLEVINS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLEVINS & BLEVINS, INC.",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-875-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046640",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.