Individual provider Active NPI

Deanna Michelle Paul-Blanc, O.D.

  • Optometrist
  • Mentor, OH
National Provider Identifier
1679752299
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6091 Issued in OH
Practice address
9156 Mentor Ave
Mentor, OH 44060-6479
Phone
(440) 578-5046
Fax
(440) 578-5047
NPI assigned
Oct 31, 2007
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6091 OH Primary
Optometrist 152W00000X 046010306 IL

Addresses

Primary practice location

9156 Mentor Ave
Mentor, OH 44060-6479

Mailing address

9156 Mentor Ave
Mentor, OH 44060-6479
Phone (440) 578-5046

Other names 1

  • Deanna Michell Lovrak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
046010306ILMDOptometrist
6091OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America's Best Contacts & Eyeglasses Past Accepting new patients
Eyemart Express LLC PastSince May 1, 2024 Accepting new patients
Eyecare Express-Terre Haute Inc. Optometrist Past Accepting new patients

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, 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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1679752299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9156 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606479",
            "telephone_number": "440-578-5046",
            "fax_number": "440-578-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9156 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606479",
            "telephone_number": "440-578-5046",
            "fax_number": "440-578-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL-BLANC",
        "first_name": "DEANNA",
        "middle_name": "MICHELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6091",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "LOVRAK",
            "middle_name": "MICHELL",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.