Kim Tien Blois, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8661TG Issued in TX

Practice address

1800 W Chestnut St Ste 101
Denton, TX 76201

Phone

(940) 369-7441

Fax

(940) 369-7403

NPI assigned

Jun 23, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Sex

Female

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 TX

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosper Vision PLLCGroup PAC ID 0941567960, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prosper Vision PLLC

  dba Eye Gallery

  • Optometrist
  • Prosper, TX
  • NPI 1023543113
  Medicare reassignment Care Compare group NPD
• Visionary Eye Care PLLC

  dba Wink Eye Care

  • Optometrist
  • Little Elm, TX
  • NPI 1427945096
  NPD

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1932581253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 KESTREL WAY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104683",
            "telephone_number": "940-369-7441",
            "fax_number": "940-369-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHESTNUT ST STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76201",
            "telephone_number": "940-369-7441",
            "fax_number": "940-369-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOIS",
        "first_name": "KIM",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8661TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Eduardo Blanco
• Andrew J Blankenau, M.D.
• Kaitlin C. Blankenship, MD
• Erin Blaylock, NP
• Leisha Monette Blaylock, FNP-C
• Blossom Neurology Centers LLC (Denton Pain Center)
• Thomas Blucker, MD
• Blue Dragon Rogues, Inc (Zounds Hearing)
• Bluebonnet Hospice Care Inc
• Blues Family Practice LLC

• Optometrist in Denton, TX
• Providers in Denton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.