Active NPI
Nicholas James Blasco, O.D.
- Optometrist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011522
- Practice address
- 2566 Hubbell Ave
Des Moines, IA 50317-6102 - Phone
- (515) 262-1094
- NPI assigned
- Jul 27, 2013
- Last updated
- Aug 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2370 | MD | |
| Optometrist | 152W00000X | 046011522 | IL | Primary |
| Optometrist | 152W00000X | 002583 | IA |
Addresses
Primary practice location
2566 Hubbell Ave
Des Moines, IA 50317-6102
Mailing address
400 W Dundee Rd
Ste 14-15
Buffalo Grove, IL 60089-3415
Phone (515) 306-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1585 N Barrington Rd
Suite 502
Hoffman Estates, IL 60169-5020
Phone (847) 255-3515
806 Central Ave
Suite 300
Highland Park, IL 60035-5613
Phone (847) 255-3515
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.96 of 100
- Quality
- 91.74
- Improvement activities
- 40
- Cost
- 77.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2370 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Optical PLLC | Optometrist | Current | Accepting new patients |
| United Eye Care Providers, LLC | Optometrist | Past | Accepting new patients |
| Eye Care of Iowa P.C. | Optometrist | Past | Accepting new patients |
Locations
400 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 459-9119
400 W Dundee Rd
Ste 14
Buffalo Grove, IL 60089
400 W Dundee Rd
Ste 1415
Buffalo Grove, IL 60089
Phone (847) 459-9119
Interoperability endpoints
- nblasco@cccltd.intellechartdirect.net
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Highland Park, IL
- NPI 1750468518
-
- Optometrist
- Buffalo Grove, IL
- NPI 1346377991
-
- Optometrist
- Des Moines, IA
- NPI 1972535722
-
- Optometrist
- Lemont, IL
- NPI 1013070093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1801238100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W DUNDEE RD",
"address_2": "STE 14-15",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893415",
"telephone_number": "515-306-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2566 HUBBELL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503176102",
"telephone_number": "515-262-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASCO",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-27",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2370",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011522",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.