Suzette Ann Blahnik, OD | |
3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129-3519 | |
(386) 492-6999 | |
(386) 492-6900 |
Full Name | Suzette Ann Blahnik |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3740 S Ridgewood Ave Unit 103, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619927118 | NPI | - | NPPES |
078846500 | Medicaid | FL | |
OPC2506 | Other | FL | OPTOMETRIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC2506 (Florida) | Primary |
Provider Name | Blahnik Eye Care Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043462914 PECOS PAC ID: 4385701903 Enrollment ID: O20090326000447 |
Mailing Address | Practice Location Address |
---|---|
Suzette Ann Blahnik, OD 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129-3519 Ph: (386) 492-6999 | Suzette Ann Blahnik, OD 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129-3519 Ph: (386) 492-6999 |
Blahnik Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129 Phone: 386-492-6999 Fax: 386-492-6900 | |
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 |