Christine Y Blick OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHRISTINE Y BLICK OD PA

Practice address

502 Celebration Ave
Celebration, FL 34747-4687

Phone

(407) 566-8585

Fax

(407) 566-8253

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Christine Y Blick, ODNPI 1235341116

Title

Optometrist

Phone

(407) 566-8505

Specialties & licenses 2

Addresses

Other names 1

• Envision Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Y Blick, OD

  • Optometrist
  • Celebration, FL
  • NPI 1235341116
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Wallace, OD

  • Optometrist
  • Celebration, FL
  • NPI 1689751166
  Medicare reassignment Care Compare group NPD
• Sokonviset Uong, O.D.

  • Optometrist
  • Winter Garden, FL
  • NPI 1649218017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1851492201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CELEBRATION AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474687",
            "telephone_number": "407-588-8505",
            "fax_number": "407-566-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CELEBRATION AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474687",
            "telephone_number": "407-566-8585",
            "fax_number": "407-566-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE Y BLICK OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-566-8505",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Black MD, LLC
• Cassondra Chatham, APRN
• Laura Chen
• Choice Medical Consultants
• Allison Chosen
• Christopher Ciccarelli, M.D.
• Elizabeth A. Clements, PHARMD
• Clinical Mobility LLC
• Staci J Cody, CNM
• Beatriz Fontes Coelho

• Optometrist in Celebration, FL
• Providers in Celebration, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.