Individual provider Active NPI

Weishing Cynthia Blaylock, OD

  • Optometrist
  • Concord, CA
National Provider Identifier
1932133600
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14513 Issued in CA
Practice address
1955 Monument Blvd
Suite 4-a
Concord, CA 94520-3873
Phone
(925) 326-0120
Fax
(925) 326-3120
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003304A IN
Optometrist 152W00000X 14513 CA Primary

Addresses

Primary practice location

1955 Monument Blvd
Suite 4-a
Concord, CA 94520-3873

Mailing address

5815 Broadway
Oakland, CA 94618-1524
Phone (317) 985-6420

Other identifiers 1

IdentifierTypeStateIssuer
200529580MedicaidIN

Other names 1

  • Weishing Cynthia Chao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14513CAMDOptometrist
18003304AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Linda a Frechette Inc. Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1932133600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181524",
            "telephone_number": "317-985-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MONUMENT BLVD",
            "address_2": "SUITE 4-A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203873",
            "telephone_number": "925-326-0120",
            "fax_number": "925-326-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "WEISHING",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003304A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEISHING",
            "last_name": "CHAO",
            "middle_name": "CYNTHIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.