DR. LATANDRA BLUE (O.D.) – Optometrist, NPI 1942634431

DR. LATANDRA BLUE (O.D.) is a healthcare provider. based in Mc calla, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S-D05-TA-965 (AL). The NPI Number for DR. LATANDRA BLUE (O.D.) is 1942634431

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. LATANDRA BLUE (O.D.)
NPI
1942634431
Phone
(205) 821-7252
Address
5882 MCASHAN RIDGE RD
Enumeration Date
3 September 2013
Last Update Date
16 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054172583
Graduation Year
2013 (13 years ago)
PAC ID
6709011299
Professional Enrollment ID
I20131111000068
Address ID
AL352115500BI2818XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. LATANDRA BLUE (O.D.)

  • 5882 MCASHAN RIDGE RD

    MC CALLA, AL 351114800

    Phone: (205) 821-7252

    Type: Mailing

  • 1686 MONTGOMERY HWY

    BIRMINGHAM, AL 352164906

    Phone: (205) 979-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $686.

Total Amount is formed as General ($686) + Research ($0) + Ownership ($0) = $686.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($279).

Total Amount

$686

General + Research + Ownership

Payments

13

Total payment records

General Amount

$686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131111000068IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
92250Photography of the retina1212$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 35111)

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Provider's Procedures

DR. LATANDRA BLUE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAL92083Measurement of field of vision during daylight conditions2222

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LATANDRA BLUE (O.D.)'s NPI?
Yes. DR. LATANDRA BLUE (O.D.) is listed with NPI 1942634431 in the public NPI dataset.
Can I rely on DR. LATANDRA BLUE (O.D.) being an active provider?
As of the registry snapshot, DR. LATANDRA BLUE (O.D.) is marked active.
What taxonomy line describes DR. LATANDRA BLUE (O.D.)?
For research purposes, treat DR. LATANDRA BLUE (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LATANDRA BLUE (O.D.)?
DR. LATANDRA BLUE (O.D.)'s geographic hint is Mc Calla, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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