Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kacey Dustin Blaylock, OD

Individual provider Optometrist · NPI 1164871489

Kacey Dustin Blaylock, OD is an Optometry in Boise, Idaho. Graduated from Pacific University - College of Optometry in 2016, 10 years ago. Practices with Hollingshead Eye Center PC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

360 E Mallard Dr Ste 110
Boise, ID 83706-3945
Phone: (208) 336-8700
Fax: (208) 426-0902
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100370 (ID)

Record details

NPI number1164871489
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Hollingshead Eye Center Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boise