DR. KEVIN BLACKETT OD
NPI 1679256978
Optometrist in Chicago, IL

Q: What is Kevin Blackett's NPI number?

The NPI number for Kevin Blackett is 1679256978. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Q: What is Kevin Blackett'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 Kevin Blackett was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 11, 2023PECOS EnrolledAccepts Medicare Assignment

1730 W FULLERTON AVE, CHICAGO, IL 60614(773) 327-3000 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kevin Blackett Od NPPES

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

DR. KEVIN BLACKETT OD (NPI 1679256978) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.011746) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2023).

NPPES Registry Identity

NPI1679256978

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KEVIN BLACKETTCredential: OD

Location Address1730 W FULLERTON AVEChicago, IL 60614-1900

Mailing Address1730 W Fullerton AveChicago, IL 60614-1900 · (773) 327-3000

Phone(773) 327-3000

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2023

Enumeration DateAugust 11, 2023

NPPES CertifiedAugust 11, 2023

✔ NPI 1679256978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046.011746

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.

1730 W FULLERTON AVE, Chicago, IL 60614

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Secondary Practice Locations 3

Location 14017 N Milwaukee AveChicago, IL 60641-1834 · Phone (773) 545-2660

Location 2400 W Division StChicago, IL 60610-2981 · Phone (312) 274-1212

Location 3904 W North AveMelrose Park, IL 60160-1520 · Phone (708) 343-9009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Blackett Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749643252

PECOS Enrollment IDI20230831001749

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

14 services14 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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Other Providers at the Same Location NPPES 12

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

RYAN YAFFE O.D.

Optometrist