Mark Blasbalg (NPI# 1366554420, PAC ID# 8224133210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366554420 |
| PAC ID by PECOS | 8224133210 |
| Professional Enrollment ID | I20070518000511 |
| Full Name | Mark Blasbalg |
| Organization Legal Name | PRYTULA EYE ASSOCIATES INC |
| Address |
1193 Tiogue Ave Coventry RI 02816-6170 |
| Phone Number | 4018238200 |
| Gender | M |
| Credential | OD |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5294090510 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1193 Tiogue Ave, Coventry, RI 02816-6170 | 4018238200 | PRYTULA EYE ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PRYTULA EYE ASSOCIATES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liane C Prytula | Optometry | Prytula Eye Associates Inc | 1193 Tiogue Ave, Coventry, RI 02816-6170 |
| Street Address |
1193 TIOGUE AVE |
| City | COVENTRY |
| State | RI |
| Zip | 02816-6170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liane C Prytula | Optometry | Prytula Eye Associates Inc | 1193 Tiogue Ave, Coventry, RI 02816-6170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Artemio M Manansala | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 87 Bramble Bush Rd, Coventry, RI 02816-4901 |
| Michael S Petteruto | Chiropractic | 234 Chaplin Dr, Coventry, RI 02816-5067 | |
| Okosun E Edoro | Internal Medicine | Totalhealth LLC | 17 Coventry Shoppers Park, Suite 2, Coventry, RI 02816-5702 |
| Colleen Sweeney Mcgloin | Physical Therapy | Sport and Spine Physical Therapy Inc | 45 Sandy Bottom Rd, Coventry, RI 02816-5863 |
| Elaine Roy Crellin | Physical Therapy | Sport and Spine Physical Therapy Inc | 45 Sandy Bottom Rd, Coventry, RI 02816-5863 |
| Karen Manuzzi | Physical Therapy | Sport and Spine Physical Therapy Inc | 45 Sandy Bottom Rd, Coventry, RI 02816-5863 |
| Robert Corriea | Physical Therapy | Sport and Spine Physical Therapy Inc | 45 Sandy Bottom Rd, Coventry, RI 02816-5863 |
| Jeffrey John Tosch | Chiropractic | 137 Sandy Bottom Rd, Coventry, RI 02816-5865 | |
| Bernard G Coppolelli | Podiatry | 134 Sandy Bottom Rd, Coventry, RI 02816-5891 | |
| Lori Anne Jones | Clinical Social Worker | 341 S Main St, Coventry, RI 02816-5911 | |
| Find all physicians in zip 02816 | |||
| City | COVENTRY |
| Zip Code | 02816 |
| Specialty | OPTOMETRY |
| City + Specialty | COVENTRY + OPTOMETRY |
Please comment or provide details below to improve the information on Mark Blasbalg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.