Individual provider Active NPI

Robin Blank, O.D.

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1962499434
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-001003 Issued in AZ
Practice address
19420 N 59TH Ave Ste E525
Glendale, AZ 85308-6883
Phone
(602) 843-2900
Fax
(602) 843-0233
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-001003 AZ Primary

Addresses

Primary practice location

19420 N 59TH Ave Ste E525
Glendale, AZ 85308-6883

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

18631 N 19th Ave
Suite 130
Phoenix, AZ 85027-5299
Phone (623) 516-4710

Other practice location 2

7650 W Bell Rd # 3
Glendale, AZ 85308-8619
Phone (623) 412-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070531000480 AZ Practitioner - Optometry 6204934177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare of Glendale PLCGroup PAC ID 1759434905, 3 clinicians
Frank M Akers II O D PCGroup PAC ID 3274610480, 11 clinicians

Practice addresses (Care Compare)

19420 N 59TH Ave
Suite E525
Glendale, AZ 85308-6883
Phone (602) 843-2900

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

3635 E Inverness Ave
Suite 105
Mesa, AZ 85206-3848
Phone (480) 372-8950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-001003AZMDOptometrist

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1962499434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE E525",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086883",
            "telephone_number": "602-843-2900",
            "fax_number": "602-843-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18631 N 19th Ave",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275299",
            "country_code": "US",
            "telephone_number": "623-516-4710",
            "fax_number": "623-516-4759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7650 W Bell Rd # 3",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088619",
            "country_code": "US",
            "telephone_number": "623-412-2020",
            "fax_number": "623-825-7369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.