Active NPI
Kurt E. Blades, O.D.
- Optometrist
- Whitefish, MT
National Provider Identifier
1811926587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 517
- Practice address
- 346 Central Ave Ste B
Whitefish, MT 59937-2664 - Phone
- (406) 862-2020
- Fax
- (406) 862-2385
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 517 | MT | Primary |
Addresses
Primary practice location
346 Central Ave Ste B
Whitefish, MT 59937-2664
Mailing address
PO Box 1368
Whitefish, MT 59937-1368
Phone (406) 862-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-83378 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811926587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599371368",
"telephone_number": "406-862-2020",
"fax_number": "406-862-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 CENTRAL AVE STE B",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372664",
"telephone_number": "406-862-2020",
"fax_number": "406-862-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADES",
"first_name": "KURT",
"middle_name": "E.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04-83378",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.