JAMIE L BLAVAT


Address: 1513 Park Ave Fl 1, Columbus, WI 53925-1793
Phone: 9206232431

JAMIE L BLAVAT (NPI# 1073034609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073034609
Entity Type Individual
Full Name JAMIE L BLAVAT
Credential OD
Practice Address 1513 Park Ave Fl 1
Columbus
WI 53925-1793
Mailing Address 1808 W Beltline Hwy
Madison
WI 53713-2334
Practice Telephone 9206232431
Practice Fax Number 9206233656
Mailing Telephone 6082501497
Mailing Fax Number 6082501384
Enumeration Date 2017-07-05
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3475-35 WI Eye and Vision Services Providers

Office Location

Street Address 1513 PARK AVE FL 1
City COLUMBUS
State WI
Zip Code 53925-1793

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NPI Name Taxonomy Address Enumeration
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1164487328 Drs Beck & Becker Sc Dentist 1505 Park Ave., Columbus, WI 53925 2006-04-19
1245864735 Margaret Mary Frank Pharmacist 1500 W James St, Columbus, WI 53925 2020-02-24
1487094686 Tiana M Imhoff Physician Assistant 1515 Park Ave, Columbus, WI 53925 2013-07-02
1821343401 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 200 Commerce Dr, Columbus, WI 53925 2012-07-19
1689987372 Erin Renee Hills Nurse Practitioner 1515 Park Ave, Columbus, WI 53925 2010-07-22
1184723645 James Michael Beck Dentist 1505 Park Ave., Columbus, WI 53925 2006-09-21
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386278315 Clarkson Optometry Midwest Inc. Optometrist 553 E Town St Ste 1, Columbus, OH 43215-4925 2020-02-28
1568009553 Nicholas King-smith O.d., Inc. Optometrist 5144 Morse Rd, Columbus, OH 43230-1360 2019-12-09
1285284273 Unity Eye Centers Inc Optometrist 605 23rd St, Columbus, NE 68601-2767 2019-09-12
1669034492 Lauren Davis Optometrist 5965 E Broad St Ste 480, Columbus, OH 43213-1562 2019-07-02
1144881152 Angela J. Beal, Od, LLC Optometrist 1300 Polaris Pkwy, Columbus, OH 43240-2038 2019-06-21
1922668623 Christine M Cosgrove Optometrist 2827 Charing Rd Apt B, Columbus, OH 43221-3676 2019-06-16
1336706639 Daniel Crawford Optometrist 3235 Kenyon Rd, Columbus, OH 43221-1809 2019-05-22
1770076192 Morgan Elizabeth Garczyk Optometrist 2300 W Broad St Fl 2, Columbus, OH 43204 2018-06-11
1467944710 Sarah Baughman Optometrist 3785 S High St, Columbus, OH 43207-4011 2018-06-02
1346760139 Ods Consultants LLC Optometrist 50 W Broad St Ste 231, Columbus, OH 43215-5937 2017-06-22
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Competitor

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City COLUMBUS
Zip Code 53925

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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