Dr. Audrey Deanne Blacklock, MD, PHD

Individual provider Ophthalmology Physician · NPI 1912199159

Dr. Audrey Deanne Blacklock, MD, PHD is an Ophthalmology in N Kansas City, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2006, 20 years ago. Practices with Somers Eye Center Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying: 20
Trained at: University of Kansas School of Med (KC/WICH/SAL)
Licensed in: KS, MO
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.
PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2790 Clay Edwards Dr Ste 1240
N Kansas City, MO 64116-3253
Phone: (816) 842-2015
Fax: (816) 221-3713

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Specialties & licences

Ophthalmology Physician (primary)	Taxonomy 207W00000X · Licence 2012008166 (MO)
Ophthalmology Physician	Taxonomy 207W00000X · Licence 04-34305 (KS)

Record details

NPI number	1912199159
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD , PHD
Sole proprietor	No
NPI enumerated	August 13, 2007
Last updated in NPPES	October 6, 2022
Certification date	October 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OPHTHALMOLOGY
Medical school	UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated	2006 (20 years in practice)
Group practice	Somers Eye Center Inc — 2 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount