Individual provider Active NPI

Blake Kennedy Williamson, M.D., M.P.H., M.S.

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1720370067
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
208152 Issued in LA
Practice address
550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone
(225) 984-2020
NPI assigned
May 4, 2011
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 208152 LA Primary

Addresses

Primary practice location

550 Connell Park LN
Baton Rouge, LA 70806-6539

Mailing address

1719 Peniston St
New Orleans, LA 70115-4630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902002968 LA Practitioner - Ophthalmology 5193031391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azar Instruments Inc.Group PAC ID 2466416540, 9 clinicians
Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

516 Saint Landry St
Lafayette, LA 70506-4626
Phone (337) 235-7791

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.38 of 100Reported as individual
Quality
89.77
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
208152LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Outpatient Surgery Center Partners, LLC Current Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Williamson Eye Center Ophthalmology CurrentSince Aug 11, 2015 Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Williamson Eye Center Ophthalmology CurrentSince Aug 11, 2015 Accepting new patients
Williamson Eye Center Ophthalmology Current Accepting new patients
Jonathan M. Levy, DPM, PC Past Accepting new patients

Locations

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

550 Connell Park Ln
Ste A
Baton Rouge, LA 70806

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

2468 Louisiana Ave
Lutcher, LA 70071
Phone (225) 869-3838

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Interoperability endpoints

  • FHIR API: https://fa8a2944-9e89-456d-b21a-b14e7e571664.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 8

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1720370067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 PENISTON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-984-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BLAKE",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "208152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.