Individual provider Active NPI

Joseph Blevins, OD

  • Optometrist
  • North Canton, OH
National Provider Identifier
1861124257
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007083 Issued in OH
Practice address
907 Schneider St SE
North Canton, OH 44720-3774
Phone
(330) 499-1494
NPI assigned
Jun 26, 2022
Last updated
Jun 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007083 OH Primary

Addresses

Primary practice location

907 Schneider St SE
North Canton, OH 44720-3774

Mailing address

369 Whittier Ave NW
North Canton, OH 44720-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220714004010 OH Practitioner - Optometry 5496136921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blevins and Blevins, Inc.Group PAC ID 3678692985, 4 clinicians

Practice addresses (Care Compare)

907 Schneider St SE
North Canton, OH 44720-3774
Phone (330) 499-1494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blevins & Blevins, Inc. Optometrist CurrentSince Sep 7, 2022 Accepting new patients
Blevins & Blevins, Inc. Optometrist CurrentSince Sep 7, 2022 Accepting new patients

Locations

503 E Main St
Louisville, OH 44641
Phone (330) 499-1494

907 Schneider St SE
North Canton, OH 44720
Phone (330) 499-1494

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1861124257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WHITTIER AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SCHNEIDER ST SE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203774",
            "telephone_number": "330-499-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.