Individual provider Active NPI

Jason Blankenship, OD

  • Optometrist
  • Carlisle, PA
National Provider Identifier
1801921259
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002172 Issued in PA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070410000123 GA Practitioner - Optometry 0345345930 Reassigns benefits to 1 organization
I20151119002686 NY Practitioner - Optometry 0345345930 Reassigns benefits to 1 organization
I20240209002300 PA Practitioner - Optometry 0345345930 Reassigns benefits to 2 organizations
I20240318003499 TX Practitioner - Optometry 0345345930 Reassigns benefits to 1 organization
I20250226003931 CO Practitioner - Optometry 0345345930 Reassigns benefits to 1 organization
I20250331000058 FL Practitioner - Optometry 0345345930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002308GAMDOptometrist
OEG002172PAMDOptometrist
8619TXMDOptometrist
0618001927VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Feb 14, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 14, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Visionworks, Inc CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 14, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 1, 2015 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Allegany Optical LLC Optometrist PastSince Feb 4, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Allegany Optical LLC Optometrist PastSince Feb 4, 2024 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

  • Direct secure messaging: 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.

View all 23

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

Sources for this page

Verify at the official NPI Registry.