Individual provider Active NPI

Emily Elizabeth Blaney, OD

  • Optometrist
  • Lemon Grove, CA
National Provider Identifier
1881361160
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
957 Issued in HI
Practice address
7155 Broadway
Lemon Grove, CA 91945-1408
Phone
(808) 523-2020
Fax
(808) 523-2030
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 957 HI Primary

Addresses

Primary practice location

7155 Broadway
Lemon Grove, CA 91945-1408

Mailing address

7155 Broadway
Lemon Grove, CA 91945-1408
Phone (619) 315-0192

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL contactpearl@hawaiivisionassociates.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20210920000533 HI Practitioner - Optometry 7618374687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory W Schmidt MD LLCGroup PAC ID 6800971599, 3 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Suite 604
Honolulu, HI 96813-2442
Phone (808) 523-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
957HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory W Schmidt MD LLC CurrentSince Sep 8, 2021 Accepting new patients
Regency Eye Care, Inc. Optometrist Past Accepting new patients

Locations

1380 Lusitana St
Ste 604
Honolulu, HI 96813
Phone (808) 487-5766

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1881361160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451408",
            "telephone_number": "619-315-0192",
            "fax_number": "619-337-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451408",
            "telephone_number": "808-523-2020",
            "fax_number": "808-523-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "contactpearl@hawaiivisionassociates.com",
            "affiliation": "N",
            "address_1": "1000 Kamehameha Hwy Ste 100",
            "city": "Pearl City",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967822596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.