Brooke Naomi Blankenship

Primary specialty

OptometristTaxonomy code 152W00000X

License

PENDING Issued in TX

Practice address

5488 S Padre Island Dr Ste 2042
Corpus Christi, TX 78411-4122

Phone

(361) 994-0310

Fax

(361) 994-0452

NPI assigned

Apr 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors McIntyre and GarzaGroup PAC ID 4183604861, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doctors McIntyre and Garza

  • Optometrist
  • Corpus Christi, TX
  • NPI 1508987694
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1689237018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR STE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114122",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR STE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114122",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5488 S Padre Island Dr Ste 2042",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784114122",
            "country_code": "US",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "BROOKE",
        "middle_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Blake, DC
• Jessica Blakeslee
• Blanca Lucia Gray MD PA
• David E Blanchard, DO
• Angel I Blanco, M.D.
• Gail Lynn Blanpied, LPC
• Beatriz Blinov, M.D
• Dmytro Blinov, PA
• Jacqueline Bliven
• Bloom Her Path LLC

• Optometrist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.

Verify at the official NPI Registry.