Individual provider Active NPI

Alaina Blake, O.D.

  • Optometrist
  • Waukee, IA
National Provider Identifier
1891101002
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
073667 Issued in IA
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

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Insight Vision Inc.Group PAC ID 8123002276, 4 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Inc. Optometrist CurrentSince Sep 10, 2014 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.

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

Verify at the official NPI Registry.