DR. KEVIN DEAN BLAIR (OD) – Optometrist, NPI 1023087525

DR. KEVIN DEAN BLAIR (OD) is a healthcare provider. based in Albany, Oregon. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 2396AT (OR). The NPI Number for DR. KEVIN DEAN BLAIR (OD) is 1023087525

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN DEAN BLAIR (OD)
NPI
1023087525
Phone
(541) 926-6077
Address
2330 HERITAGE WAY SE
Enumeration Date
16 March 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5419266077
Graduation Year
1983 (43 years ago)
PAC ID
5193813129
Group Practice PAC ID
6901895804
Professional Enrollment ID
I20071108000503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN DEAN BLAIR (OD)

  • Heritage Way Southeast, Albany, Linn County, Oregon, 97322, United States

    ALBANY, OR 973228600

    Phone: (541) 926-6077

    Fax: (541) 926-0605

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-11-08

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
I20071108000503IOptometryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97322)

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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: 6901895804View full group profile
NameSpecialtyState
-OR

Reviews

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Frequently asked questions

How do I look up DR. KEVIN DEAN BLAIR (OD) by NPI?
Use NPI 1023087525 when you need to reference DR. KEVIN DEAN BLAIR (OD) in forms, claims, or directories.
Is DR. KEVIN DEAN BLAIR (OD) currently active in the NPI registry?
CMS-published data lists DR. KEVIN DEAN BLAIR (OD) as an active registrant.
What field does DR. KEVIN DEAN BLAIR (OD) work in?
You can think of DR. KEVIN DEAN BLAIR (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEVIN DEAN BLAIR (OD)?
The snapshot lists Albany, Oregon for DR. KEVIN DEAN BLAIR (OD); download NPPES for the complete set.
How can I contact DR. KEVIN DEAN BLAIR (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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