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BLAIR B HOLDEN O.D.
NPI 1700430576
Optometrist in Boone, NC

Active since July 30, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
610 STATE FARM RD STE A, BOONE, NC 28607(828) 264-0042(828) 264-8612 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2022, Sep 16, 2020, Jul 30, 2019 (3 updates tracked since 2019).

About Blair B Holden O.d. NPPES

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

BLAIR B HOLDEN O.D. (NPI 1700430576) is an individual optometrist in Boone, North Carolina, licensed in North Carolina (2681) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Charles A Cannon Jr Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1700430576
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameBLAIR B HOLDENCredential: O.D.
Location Address610 STATE FARM RD STE ABoone, NC 28607-4713
Mailing Address610 State Farm Rd Ste ABoone, NC 28607-4713 · (828) 264-0042 · Fax (828) 264-8612
Phone(828) 264-0042
Fax(828) 264-8612
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2019
Enumeration DateJuly 30, 2019
Last NPPES UpdateJune 7, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1700430576 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 NC · 2681✔ Licensed in KY · 2188DT
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.
610 STATE FARM RD STE A, Boone, NC 28607
Open in Google Maps ↗

Secondary Practice Locations 4

Location 16828 Bardstown RdLouisville, KY 40291-3050 · Phone (502) 268-4347
Location 2222 Veterans BlvdDenham Springs, LA 70726-4724 · Phone (225) 791-2020
Location 360007 W Way DrAmite, LA 70422-4186 · Phone (985) 748-8096
Location 41705 S Morrison BlvdHammond, LA 70403-5737 · Phone (985) 345-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource and more.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

Blair B Holden O.d. 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 ID5092045617
PECOS Enrollment IDI20220705000268
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blair Holden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Carolina Eye Associates, PA
Same address
Ophthalmology
610 STATE FARM RD, SUITE A
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1093776403 (828) 264-0042
Clarkson Optometry Midwest Inc
220 mi
Optometrist
325 W WALNUT ST, STE 400
Lebanon, KY 40033
  • Reassigned Medicare billing, Kentucky enrollment
  • 53 clinicians in this Medicare group
NPI 1366520702 (636) 200-4393

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 13

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.

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.
246 services231 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
179 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services96 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
104 services93 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
59 services59 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
59 services58 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 2

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

DR. SAVANNAH SHEETS DAVIS OD
Optometrist
610 STATE FARM RD STE A
BOONE, NC 28607
Watauga County (828) 264-0042
DR. PENELOPE MARIE COPENHAVER O.D.
Optometrist
610 STATE FARM RD STE A, SUITE A
BOONE, NC 28607
Watauga County (828) 264-0042

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 Blair Holden's NPI number?

The NPI number for Blair Holden is 1700430576. It was assigned to this individual provider in the NPPES registry on July 30, 2019.

Where is Blair Holden located?

Blair Holden practices at 610 State Farm Rd Ste A, Boone, NC 28607. The listed phone number is (828) 264-0042.

What is Blair Holden's specialty?

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

Is Blair Holden enrolled in Medicare?

Yes. Blair Holden 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 Blair Holden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blair Holden reassigns Medicare benefits to 2 organizations: Western Carolina Eye Associates, PA (Boone, NC) and Clarkson Optometry Midwest Inc (Lebanon, KY). 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 Blair Holden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blair Holden accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource, Oscar Health and Oscar Health Insurance and 6 other insurers list Blair Holden 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.

Is Blair Holden affiliated with any hospitals?

According to CMS data, Blair Holden is affiliated with Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Blair Holden was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.