PAULINE BLAND (OD) – Optometrist, NPI 1184009847

PAULINE BLAND (OD) is a healthcare provider. based in Rock island, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 078286 (IA). The NPI Number for PAULINE BLAND (OD) is 1184009847

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PAULINE BLAND (OD)
NPI
1184009847
Phone
(309) 751-4011
Address
4600 30TH ST
Enumeration Date
23 July 2015
Last Update Date
23 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5632198000
Graduation Year
2015 (11 years ago)
PAC ID
0446567572
Group Practice PAC ID
4880686567
Professional Enrollment ID
I20150922000882
Address ID
IA527323479CL1015XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for PAULINE BLAND (OD)

  • 4600 30TH ST

    ROCK ISLAND, IL 612017038

    Phone: (309) 751-4011

    Fax: (309) 788-9550

    Type: Mailing

  • 1015 13TH AVE N

    CLINTON, IA 527323479

    Phone: (309) 751-4011

    Fax: (309) 788-9550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alcon Vision LLC ($129).

Total Amount

$224

General + Research + Ownership

Payments

12

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2015-09-22

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
I20150922000882IOptometryIATBD

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
92014Established patient complete exam of visual system481480$0
99213Established patient office or other outpatient visit, 20-29 minutes425271$0
83516Analysis of substance using immunoassay technique, multiple step method22472$0
92134Imaging of retina184144$0
92133Imaging of optic nerve160118$0
View full utilization report →

Insurance plans in this area (ZIP 61201)

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Provider's Procedures

PAULINE BLAND (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIA92012Eye and medical examination for diagnosis and treatment, established patient6157

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880686567View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to PAULINE BLAND (OD)?
The federal identifier for PAULINE BLAND (OD) is NPI 1184009847.
Is PAULINE BLAND (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PAULINE BLAND (OD) list a primary specialty?
If you are matching referrals, note Optometrist for PAULINE BLAND (OD). Clinical services aligned with this taxonomy classification.
What location shows for PAULINE BLAND (OD)?
We surface Rock Island, Illinois for PAULINE BLAND (OD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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