Active NPI
Alaina Blake, O.D.
- Optometrist
- Waukee, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 073667
- Practice address
- 1350 E Hickman Rd
Waukee, IA 50263-8137 - Phone
- (515) 221-9195
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- 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 | 073667 | IA | Primary |
Addresses
Primary practice location
1350 E Hickman Rd
Waukee, IA 50263-8137
Mailing address
1350 E Hickman Rd
Waukee, IA 50263-8137
Phone (515) 221-9195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140924000057 | IA | Practitioner - Optometry | 5193944122 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1350 E Hickman Rd
Waukee, IA 50263-8137
Phone (515) 221-9195
1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone (319) 377-5343
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Vision Inc. | Optometrist | Current | Accepting new patients |
| Insight Vision | Optometrist | Current | Accepting new patients |
Locations
12871 University Ave
Ste 140
Clive, IA 50325
Phone (515) 221-9195
1415 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 377-5343
1350 E Hickman Rd
Waukee, IA 50263
Phone (515) 221-9195
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.
-
- Optometrist
- Clive, IA
- NPI 1851569164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1891101002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E HICKMAN RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638137",
"telephone_number": "515-221-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E HICKMAN RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638137",
"telephone_number": "515-221-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "ALAINA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "073667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.