Active NPI
BLK Inc.
- Durable Medical Equipment & Medical Supplies
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2083
- Legal business name
- BLK INC.
- Practice address
- 470 Southern Artery
Quincy, MA 02169-4614 - Phone
- (617) 773-7426
- Fax
- (617) 770-9453
- NPI assigned
- Dec 19, 2007
- Last updated
- Dec 19, 2007
- 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
- Ms. Bridget L Kittredge, L.D.O
- Title
- President, MGR
- Phone
- (617) 773-7426
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2083 | MA | Primary |
Addresses
Primary practice location
470 Southern Artery
Quincy, MA 02169-4614
Mailing address
470 Southern Artery
Quincy, MA 02169-4614
Phone (617) 773-7426
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529072 | Other | MA | MASSHEALTH |
| MA2083 | Other | MD | EYEMED |
| 412958 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930084123 | MA | DME Supplier - Optician | 9830219484 | Practice locations: Quincy, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| BLK Inc | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optician
- Quincy, MA
- NPI 1972616936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198022400000",
"number": "1730363276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 SOUTHERN ARTERY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694614",
"telephone_number": "617-773-7426",
"fax_number": "617-770-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 SOUTHERN ARTERY",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694614",
"telephone_number": "617-773-7426",
"fax_number": "617-770-9453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A",
"authorized_official_last_name": "KITTREDGE",
"authorized_official_first_name": "BRIDGET",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT, MGR",
"authorized_official_telephone_number": "617-773-7426",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.D.O"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "2083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "1529072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MA2083",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "412958",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.