DR. KEVIN BLACKETT OD
NPI 1679256978
Optometrist in Chicago, IL
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
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kevin Blackett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60614
- Reassigned Medicare billing, Illinois enrollment
- 10 clinicians in this Medicare group
Melrose Park, IL 60160
- Reassigned Medicare billing, Illinois enrollment
- 21 clinicians in this Medicare group
Chicago, IL 60610
- Reassigned Medicare billing, Illinois enrollment
- 10 clinicians in this Medicare group
Chicago, IL 60641
- Reassigned Medicare billing, Illinois enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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 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.
Where is Kevin Blackett located?
Kevin Blackett practices at 1730 W Fullerton Ave, Chicago, IL 60614. The listed phone number is (773) 327-3000.
What is Kevin Blackett's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kevin Blackett enrolled in Medicare?
Yes. Kevin Blackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Blackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Blackett reassigns Medicare benefits to 4 organizations: Riverpoint Eye Care LLC (Chicago, IL), Melrose Park Eye Care LLC (Melrose Park, IL), Old Town Eye Care LLC (Chicago, IL) and Six Corners Eye Care LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Blackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Blackett accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kevin Blackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 3 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.
# Dr. Kevin Blackett, OD · NPI 1679256978
Optometrist provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 11, 2023.
## Identity
- **NPI:** 1679256978 (Entity type: Individual)
- **Enumerated:** August 11, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046.011746 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1730 W FULLERTON AVE, Chicago, IL 60614-1900
- **Phone:** (773) 327-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Riverpoint Eye Care LLC (NPI 1194546614, Chicago, IL); Melrose Park Eye Care LLC (NPI 1073334595, Melrose Park, IL); Old Town Eye Care LLC (NPI 1861213472, Chicago, IL); Six Corners Eye Care LLC (NPI 1629899141, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2023
## Record status
- **NPPES last updated:** August 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679256978) · Data from the CMS NPPES public registry.