DR. MARK G BLASBALG O.D.
NPI 1366554420
Optometrist in Coventry, RI

Q: What is Mark Blasbalg's NPI number?

The NPI number for Mark Blasbalg is 1366554420. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Mark Blasbalg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Blasbalg was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006PECOS Enrolled

1193 TIOGUE AVE, COVENTRY, RI 02816(401) 823-8200(401) 826-8708 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark G Blasbalg O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK G BLASBALG O.D. (NPI 1366554420) is an individual optometrist in Coventry, Rhode Island, licensed in Rhode Island (ODTG00489) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366554420

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK G BLASBALGCredential: O.D.

Location Address1193 TIOGUE AVECoventry, RI 02816-6122

Mailing Address1193 Tiogue AveCoventry, RI 02816-6122 · (401) 823-8200 · Fax (401) 826-8708

Phone(401) 823-8200

Fax(401) 826-8708

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1366554420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in RI · ODTG00489✔ Licensed in MA · 2777

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.

1193 TIOGUE AVE, Coventry, RI 02816

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT53629RI

Medicaid9009739RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark G Blasbalg O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIANE CARLEY PRYTULA O.D.

Optometrist

1193 TIOGUE AVE
COVENTRY, RI 02816

Kent County (401) 823-8200

PRYTULA EYE ASSOCIATES INC

Optometrist

1193 TIOGUE AVE
COVENTRY, RI 02816

Kent County (401) 823-8200

TERESA N HEAD OD

Optometrist

1193 TIOGUE AVE
COVENTRY, RI 02816

Kent County (401) 823-8200

MARK G. BLASBALG OD INC

Optometrist

1193 TIOGUE AVE
COVENTRY, RI 02816

Kent County (401) 823-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Blasbalg's NPI number?

The NPI number for Mark Blasbalg is 1366554420. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Blasbalg located?

Mark Blasbalg practices at 1193 Tiogue Ave, Coventry, RI 02816. The listed phone number is (401) 823-8200.

What is Mark Blasbalg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Blasbalg enrolled in Medicare?

Yes. Mark Blasbalg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Blasbalg was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.