| Blahnik Eye Care Inc | |
|
3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129-3510 | |
| (386) 492-6999 | |
| (386) 492-6900 |
| Full Name | Blahnik Eye Care Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3740 S Ridgewood Ave, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043462914 | NPI | - | NPPES |
| 00781100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC2215 (Florida) | Primary |
| Provider Name | Gregory Blahnik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275584484 PECOS PAC ID: 9537224019 Enrollment ID: I20090217000357 |
| Provider Name | Suzette A Blahnik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619927118 PECOS PAC ID: 1557428174 Enrollment ID: I20090327000056 |
| Provider Name | Evan M Criscio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093294662 PECOS PAC ID: 6103163936 Enrollment ID: I20190131002603 |
| Mailing Address | Practice Location Address |
|---|---|
| Blahnik Eye Care Inc 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129-3510 Ph: (386) 492-6999 | Blahnik Eye Care Inc 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129-3510 Ph: (386) 492-6999 |
Dr. Larissa Dvorak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1590 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-756-1900 Fax: 386-756-8133 | |
Jessica Jordan Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7360 | |
Dr. Kirsten Reed Wilgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128 Phone: 386-767-4449 Fax: 386-767-1980 | |
Gregory T Kipp, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3820 S Nova Rd, Port Orange, FL 32127 Phone: 386-767-0068 Fax: 386-767-4755 | |
Elizabeth Josephine Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-3328 | |
Dr. Marissa Nicotra, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5517 S Williamson Blvd Ste 310, Port Orange, FL 32128 Phone: 386-322-4304 |