Active NPI
Jason Blankenship, OD
- Optometrist
- Carlisle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002172
- Practice address
- 40 Noble Blvd Ste 120
Carlisle, PA 17013-4122 - Phone
- (717) 218-6656
- Fax
- (717) 243-0738
- NPI assigned
- Feb 23, 2007
- Last updated
- Feb 27, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002308 | GA | |
| Optometrist | 152W00000X | 0618001927 | VA | |
| Optometrist | 152W00000X | 8619 | TX | |
| Optometrist | 152W00000X | OEG002172 | PA | Primary |
Addresses
Primary practice location
40 Noble Blvd Ste 120
Carlisle, PA 17013-4122
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
2209 Memorial Dr
Waycross, GA 31501-0902
Phone (912) 285-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY, PA, TX, CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002308 | GA | MD | Optometrist |
| OEG002172 | PA | MD | Optometrist |
| 8619 | TX | MD | Optometrist |
| 0618001927 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Colorado PC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Allegany Optical LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Past | Accepting new patients |
| Allegany Optical LLC | Optometrist | Past | Accepting new patients |
Locations (25 of 42)
2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411
200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
2610 Dawson Rd
Albany, GA 31707
Phone (229) 439-4687
3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020
207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071
911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676
4521 17th Ave
Columbus, GA 31904
Phone (706) 660-0191
2032 Veterans Blvd
Ste A
Dublin, GA 31021
Phone (478) 272-3445
3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600
503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899
1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404
1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147
15196 US Highway 19 S
Thomasville, GA 31757
Phone (229) 228-4770
198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500
2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021
8336 Lewiston Rd
Batavia, NY 14020
Phone (585) 344-4000
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
Interoperability endpoints
- jason.blankenship@uprisedirect.com
Organizations & group practices 23
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.
-
- Optometrist
- Cranberry Township, PA
- NPI 1093688491
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1801921259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 NOBLE BLVD STE 120",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134122",
"telephone_number": "717-218-6656",
"fax_number": "717-243-0738"
}
],
"practiceLocations": [
{
"address_1": "2209 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315010902",
"country_code": "US",
"telephone_number": "912-285-2021",
"fax_number": "912-285-2558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "JASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002308",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001927",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8619",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
- Bio-Medical Applications of Pennsylvania Inc (Bma Cumberland County)
- Erin Rose Bishop, M.ED
- Shelley D Bitner, P.T.
- Claire Elizabeth Black, M.S.
- Whitney Shay Black, MS CCC SLP
- George Washington Blashford, D.M.D
- Bless Home Care Agency LLC
- Eric David Blinn, PHARMD
- Blue Mountain Anesthesia Associates PC
- Blue Ridge Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.