ROBERT DEWEY BLASE (OD) – Optometrist, NPI 1477513612

ROBERT DEWEY BLASE (OD) is a healthcare provider. based in Kingston, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG000804 (PA). The NPI Number for ROBERT DEWEY BLASE (OD) is 1477513612

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DEWEY BLASE (OD)
NPI
1477513612
Phone
(570) 288-7405
Address
703 RUTTER AVE
Enumeration Date
23 March 2006
Last Update Date
21 February 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5706021010
Graduation Year
1981 (45 years ago)
PAC ID
3274729157
Group Practice PAC ID
0840625349
Professional Enrollment ID
I20101118000793
Address ID
PA186432724WE170XXAVEX300
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

1,771 OPTOMETRY in PA

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Provider Addresses for ROBERT DEWEY BLASE (OD)

  • Eyecare Specialist, 703, Rutter Avenue, Kingston, Luzerne County, Pennsylvania, 18704, United States

    KINGSTON, PA 187044801

    Phone: (570) 288-7405

    Fax: (570) 288-7406

    Type: Mailing

  • Eye Care Specialists, 155, Wyoming Avenue, Exeter, Luzerne County, Pennsylvania, 18643, United States

    WYOMING, PA 186441708

    Phone: (570) 693-1578

    Fax: (570) 693-2010

    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 $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($91).

Total Amount

$267

General + Research + Ownership

Payments

12

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-11-18

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
I20101118000793IOptometryPATBD

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 system427418$0
92012Established patient problem focused exam of visual system9585$0
99213Established patient office or other outpatient visit, 20-29 minutes4940$0
92133Imaging of optic nerve2222$0
99212Established patient office or other outpatient visit, 10-19 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 18704)

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Provider's Procedures

ROBERT DEWEY BLASE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYPA92012Eye and medical examination for diagnosis and treatment, established patient9687

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: 0840625349View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YFL
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What federal number belongs to ROBERT DEWEY BLASE (OD)?
The federal identifier for ROBERT DEWEY BLASE (OD) is NPI 1477513612.
Is ROBERT DEWEY BLASE (OD)'s NPI currently valid?
The extract we use shows ROBERT DEWEY BLASE (OD) as active.
What kind of provider is ROBERT DEWEY BLASE (OD)?
The page reflects Optometrist for ROBERT DEWEY BLASE (OD). Clinical services aligned with this taxonomy classification.
Does ROBERT DEWEY BLASE (OD) practice in Pennsylvania?
You will see Kingston, Pennsylvania on file for ROBERT DEWEY BLASE (OD) alongside any extra practice locations.
How can I contact ROBERT DEWEY BLASE (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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