Individual provider Active NPI

Blair B Holden, O.D.

  • Optometrist
  • Boone, NC
National Provider Identifier
1700430576
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2681 Issued in NC
Practice address
610 State Farm Rd Ste a
Boone, NC 28607-4713
Phone
(828) 264-0042
Fax
(828) 264-8612
NPI assigned
Jul 30, 2019
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2188DT KY
Optometrist 152W00000X 2681 NC Primary

Addresses

Primary practice location

610 State Farm Rd Ste a
Boone, NC 28607-4713

Mailing address

610 State Farm Rd Ste a
Boone, NC 28607-4713
Phone (828) 264-0042

Other practice location 1

6828 Bardstown Rd
Louisville, KY 40291-3050
Phone (502) 268-4347

Other practice location 2

222 Veterans Blvd
Denham Springs, LA 70726-4724
Phone (225) 791-2020

Other practice location 3

60007 W Way Dr
Amite, LA 70422-4186
Phone (985) 748-8096

Other practice location 4

1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone (985) 345-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200730003664 KY Practitioner - Optometry 5092045617 Reassigns benefits to 1 organization
I20220705000268 NC Practitioner - Optometry 5092045617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 State Farm Rd
Suite a
Boone, NC 28607-4713
Phone 8282640042123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681NCMDSchool Counselor
2188DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jul 28, 2020 Accepting new patients
Western Carolina Eye Associates, PA Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jul 28, 2020 Accepting new patients
Western Carolina Eye Associates, PA Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500

10232 Westport Rd
Louisville, KY 40241
Phone (502) 339-2042

6828 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-2020

610 State Farm Rd
Ste A
Boone, NC 28607
Phone (828) 264-0042

183 Doctors Park Dr
Jefferson, NC 28640

257 Medical Park Dr
Jefferson, NC 28640
Phone (336) 346-3937

3990 NC Highway 105 S
Ste 4
Sugar Mountain, NC 28604

Interoperability endpoints

  • Direct secure messaging: blair.holden.p1@direct.wcea.nextgenshare.com
  • Direct secure messaging: blairholden@direct.eyecare-partners.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1700430576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074713",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STATE FARM RD STE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074713",
            "telephone_number": "828-264-0042",
            "fax_number": "828-264-8612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6828 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402913050",
            "country_code": "US",
            "telephone_number": "502-268-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264724",
            "country_code": "US",
            "telephone_number": "225-791-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60007 W Way Dr",
            "address_purpose": "LOCATION",
            "city": "Amite",
            "state": "LA",
            "postal_code": "704224186",
            "country_code": "US",
            "telephone_number": "985-748-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 S Morrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704035737",
            "country_code": "US",
            "telephone_number": "985-345-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "BLAIR",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2188DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.