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SUSAN DIANE BLAIR M.D. NPI 1942209572


NPI Information

NPI: 1942209572
Provider Name: SUSAN DIANE BLAIR, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4200 N RODNEY PARHAM RD STE 101
LITTLE ROCK, AR
ZIP 72212
Phone: (501) 224-5658
Get Directions

Susan Diane Blair, M.D. is an ophthalmology in Little Rock, AR with 35 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Susan Diane Blair, M.D. NPI is 1942209572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

4200 N RODNEY PARHAM RD STE 101
LITTLE ROCK, AR
ZIP 72212-458
Phone: (501) 224-5658
Fax: (501) 224-8114

The NPI 1942209572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 7/15/2005 and was last updated on 10/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyC7661ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12454752OTHERARKANSASCIGNA
254157OTHERARKANSASBLUE CROSS OF AR
35B955OTHERARKANSASBLUE CROSS PAY TO PROVIDE
413629000000OTHERARKANSASQUALCHOICE
54514242OTHERARKANSASAETNA
611825OTHERARKANSASCOORDINATED VISION CARE
7CJ3133OTHERARKANSASRR MEDICARE GROUP #
8125599001MEDICAIDARKANSAS
9180030604OTHERARKANSASRAILROAD MEDICARE
10621710274OTHERARKANSASTAX ID NUMBER
1108-20033OTHERARKANSASUNITED HEALTHCARE
12C7661OTHERARKANSASSTATE MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.