BLAKE GORDON POWELL (O.D.) – Optometrist, NPI 1174937619

BLAKE GORDON POWELL (O.D.) is a healthcare provider. based in Oregon, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6309 (OH). The NPI Number for BLAKE GORDON POWELL (O.D.) is 1174937619

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE GORDON POWELL (O.D.)
NPI
1174937619
Phone
(419) 698-4949
Address
3975 NAVARRE AVE
Enumeration Date
12 June 2014
Last Update Date
12 June 2014

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4196984949
Graduation Year
2014 (12 years ago)
PAC ID
9234358094
Group Practice PAC ID
9739460866
Professional Enrollment ID
I20140910001261
Address ID
OH436163437OR3975XAVEX300
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

1,618 OPTOMETRY in OH

Provider Addresses for BLAKE GORDON POWELL (O.D.)

  • 3975 NAVARRE AVE

    OREGON, OH 436163437

    Phone: (419) 698-4949

    Fax: (419) 698-9948

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 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: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($147).

Total Amount

$686

General + Research + Ownership

Payments

28

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

2024-12-18

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: 2014-09-10

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
I20140910001261IOptometryOHTBD

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
66984Removal of cataract with insertion of prosthetic lens2,28219$0
92014Established patient complete exam of visual system278278$0
92250Photography of the retina8582$0
92004New patient complete exam of visual system7171$0
99214Established patient office or other outpatient visit, 30-39 minutes6458$0
View full utilization report →

Insurance plans in this area (ZIP 43616)

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Provider's Procedures

BLAKE GORDON POWELL (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92012Eye and medical examination for diagnosis and treatment, established patient1514
OPTOMETRYOH92083Measurement of field of vision during daylight conditions2419

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: 9739460866View full group profile
NameSpecialtyState
-OH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the registry number for BLAKE GORDON POWELL (O.D.)?
The registry entry for BLAKE GORDON POWELL (O.D.) shows NPI 1174937619.
Should I treat BLAKE GORDON POWELL (O.D.) as an active provider?
Patients and plans typically see BLAKE GORDON POWELL (O.D.) as active in the national extract.
Which specialty label fits BLAKE GORDON POWELL (O.D.)?
NPPES ties BLAKE GORDON POWELL (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit BLAKE GORDON POWELL (O.D.) in Oregon, Ohio?
For routing, start with Oregon, Ohio for BLAKE GORDON POWELL (O.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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