Active NPI
Blink Eyecare, LLC
- Optometrist
- Virginia Beach, VA
National Provider Identifier
1710427844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001651
- Legal business name
- BLINK EYECARE, LLC
- Practice address
- 400 Laskin Rd
Virginia Beach, VA 23451-3022 - Phone
- (267) 242-7767
- NPI assigned
- Mar 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Vogt Stromberg
- Title
- Optometrist/Owner
- Phone
- (267) 242-7767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001651 | VA | Primary |
Addresses
Primary practice location
400 Laskin Rd
Virginia Beach, VA 23451-3022
Mailing address
400 Laskin Rd
Virginia Beach, VA 23451-3022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184821472 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Laskin Rd
Virginia Beach, VA 23451
Phone (267) 242-7767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Virginia Beach, VA
- NPI 1184821472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1710427844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513022",
"telephone_number": "267-242-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLINK EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "VOGT STROMBERG",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "267-242-7767"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618001651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184821472",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.