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Kacey Dustin Blaylock, O.D.

Optometrist in Boise, ID · enumerated 2016 · practices at Lasercare Center of Idaho.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164871489

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Registry record

Entity type Individual (Type 1)
Name Kacey Dustin Blaylock
Credential O.D.
Sex Male
Practice address 360 E Mallard Dr Ste 110, Boise, ID, 83706
Phone (208) 336-8700
Fax (208) 426-0902
Enumeration date Jun 7, 2016
Last updated in NPPES Jun 16, 2021

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License ODP-100370 (ID) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kacey Blaylock practice?
The practice location on file with NPPES is in Boise, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kacey Blaylock?
The National Provider Identifier (NPI) for Kacey Blaylock is 1164871489, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-16.