Blake S Rust, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2981 Issued in TN

Practice address

11124 Kingston Pike
Suite 127
Knoxville, TN 37934-2863

Phone

(865) 966-2020

Fax

(865) 966-7332

NPI assigned

Jul 1, 2011

Last updated

Jul 1, 2011By the provider in NPPES

Sex

Male

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 TN

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winston, Winston and Winston PCGroup PAC ID 5294854626, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winston, Winston & Winston PC

  • Optometrist
  • Knoxville, TN
  • NPI 1467671461
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1689961344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342863",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "address_2": "SUITE 127",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342863",
            "telephone_number": "865-966-2020",
            "fax_number": "865-966-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "BLAKE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiya N Russell, RBT
• Mark Russell, PHARMD
• Sharla Denese Russell
• Stephen A Russell, M.D.
• Teresa Russell
• Robert Andrew Rust, MA, NCC, MFTI
• Alex Ruth, M.D.
• Brian Eugene Ruth
• Jessica Lynn Ruth
• Amy Rutherford, LPC, LMFT

• Optometrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.