Michelle C. Blas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11246T Issued in CA

Practice address

2189 Union St
San Francisco, CA 94123-4003

Phone

(415) 474-5321

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

State University of New York - State College Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shireen Zahra Haghshenas, OD

  • Optometrist
  • Saratoga, CA
  • NPI 1700627692
  Medicare reassignment

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.

• County of San Mateo

  dba Shasta

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD (past)
• John H McDougall OD Arizona PC

  dba 20/20 Image Eye Centers

  • Optometrist
  • Fountain Hills, AZ
  • NPI 1851882179
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982618682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 UNION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234003",
            "telephone_number": "415-474-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 UNION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234003",
            "telephone_number": "415-474-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAS",
        "first_name": "MICHELLE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11246T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SDO112460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Blanpied
• Gabrielle Alexandra Blanton
• Jason D Blantz, NP, MSN
• Mauro Blardony
• Zeta Derikka Sanchez Blardony
• William Blaschko, M.D.
• Barbara Elizabeth Blasdel, PH.D.
• Chelsey Lynette Blatter, MOT OTR/L
• Brandy M Blau, NP
• Mel Blaustein, M.D,

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.