Kacey Dustin Blaylock is a Boise, Idaho based male Optometrist with 8 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2016. He is also affiliated with hospitals like St Luke's Regional Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kacey Dustin Blaylock is ODP-100370 for Optometry in Idaho. Kacey Dustin Blaylock 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Kacey Dustin Blaylock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
8+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2016
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
360 E Mallard Dr Ste 110, Boise, Idaho, 83706-3945
Phone:
208-336-8700
Fax:
208-426-0902
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062705460
Enrollment ID:
I20160722000745
NPI Number:
1164871489
NPI Enumeration Date:
07 Jun, 2016
NPI Last Update On:
16 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kacey Dustin Blaylock are as mentioned below.
License Number
Specialization
State
Status
ODP-100370
Optometry
Idaho
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Luke's Regional Medical Center (130006)
Boise, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kacey Dustin Blaylock has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hollingshead Eye Center, Pc (9830133214)
5
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
360 E Mallard Dr Ste 110, Boise, Idaho
Zip:
83706-3945
Phone Number:
208-336-8700
Fax Number:
208-426-0902
Patients can reach Kacey Dustin Blaylock at 360 E Mallard Dr Ste 110, Boise, Idaho or can call to book an appointment on 208-336-8700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.