Organization Active NPI

BLK Inc.

  • Durable Medical Equipment & Medical Supplies
  • Quincy, MA
National Provider Identifier
1730363276
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2083 Issued in MA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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.ONPI 1972616936
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1529072OtherMAMASSHEALTH
MA2083OtherMDEYEMED
412958OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930084123 MA DME Supplier - Optician 9830219484 Practice locations: Quincy, MA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
BLK Inc470 Southern Artery, Quincy, MA 02169-4614(617) 773-7426 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.