Craig Matt Blair, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1667 DT Issued in KY

Practice address

2012 Callie Way Ste 101
Union, KY 41091-7520

Phone

(859) 384-6112

Fax

(859) 384-6500

NPI assigned

Feb 16, 2007

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tri-State Centers for Sight Inc

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466

  Optometrist

  NPD (past)
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Union, KY
  • NPI 1396173407
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1881738516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CALLIE WAY STE 101",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917520",
            "telephone_number": "859-384-6112",
            "fax_number": "859-384-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CALLIE WAY STE 101",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917520",
            "telephone_number": "859-384-6112",
            "fax_number": "859-384-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CRAIG",
        "middle_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1667 DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Martin Gifford Speech Therapy
• Benchmark Physical Therapy of Ky LLC
• Stacy Shelton Bennett, M.S., CCC-SLP
• Kelsey Bentley
• Diane G Bernard, LPCC
• Karen Lynn Bolte, LCSW
• Jill M Boone, PHARM.D.
• Boonespring Transitional Care Center, LLC
• Ashley Nicole Bowdy, MD
• Megan Boyd, NP-C

• Optometrist in Union, KY
• Providers in Union, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.