Individual provider Active NPI

Jaime D Blanchard, O.D.

  • Optometrist
  • West Allis, WI
National Provider Identifier
1700880499
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2968-035 Issued in WI
Practice address
7300 W Greenfield Ave
West Allis, WI 53214-4729
Phone
(414) 453-6667
Fax
(414) 774-5505
NPI assigned
Jun 9, 2005
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2968-035 WI Primary

Addresses

Primary practice location

7300 W Greenfield Ave
West Allis, WI 53214-4729

Mailing address

7300 W Greenfield Ave
West Allis, WI 53214-4729
Phone (414) 453-6667

Other identifiers 1

IdentifierTypeStateIssuer
38622400MedicaidWI

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040609001321 WI Practitioner - Optometry 8123001377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
83.61
Improvement activities
40
Cost
70.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2968-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physician Associates, S.C. Optometrist CurrentSince Jun 18, 2018 Accepting new patients
Eye Physician Associates, S.C. Optometrist CurrentSince Jun 18, 2018 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist Past Accepting new patients
Milwaukee Eye Care Associates S.C. Past Accepting new patients

Locations

8909 N Port Washington Rd
Unit 210
Bayside, WI 53217

17280 W North Ave
Ste 100
Brookfield, WI 53045
Phone (414) 271-2020

7095 S Ballpark Dr
Apt 210
Franklin, WI 53132
Phone (414) 271-2020

1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828

1684 N Prospect Ave
Milwaukee, WI 53202
Phone (414) 271-2020

4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789

8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Interoperability endpoints

  • Direct secure messaging: jaimeb@epasc1966.srs-direct.com

Organizations & group practices 6

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1700880499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144729",
            "telephone_number": "414-453-6667",
            "fax_number": "414-774-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144729",
            "telephone_number": "414-453-6667",
            "fax_number": "414-774-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "JAIME",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2968-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38622400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.