Dr Blaze Sammon, OD in Iron Mountain, MI - Medicare Optometry Provider

Dr Blaze Sammon, OD is a medicare enrolled "Optometrist" provider in Iron Mountain, Michigan. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Shoptikal Llc and his current practice location is W8159 S Us Highway 2/141 Ste 102, Iron Mountain, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 779-9164.

Dr Blaze Sammon is licensed to practice in Michigan (license number 4901005661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093442121.

Contact Information

	Dr Blaze Sammon, OD
	W8159 S Us Highway 2/141 Ste 102, Iron Mountain, MI 49801-9423
	(906) 779-9164
	(906) 774-5547

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Blaze Sammon
Gender	Male
Speciality	Optometry
Experience	4 Years
Location	W8159 S Us Highway 2/141 Ste 102, Iron Mountain, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Blaze Sammon graduated from medical school in 2022

NPI Data:

NPI Number: 1093442121
Provider Enumeration Date: 08/08/2022
Last Update Date: 10/16/2025

Medicare PECOS Information:

PECOS PAC ID: 8729443551
Enrollment ID: I20231012001927

Medical Identifiers

Medical identifiers for Dr Blaze Sammon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093442121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005661 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoptikal Llc	1456684471	169

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Blaze Sammon allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578129094 PECOS PAC ID: 1456684471 Enrollment ID: O20190708001548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blaze Sammon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Blaze Sammon, OD W1974 Beaver Pete Rd, Vulcan, MI 49892-8226 Ph: (616) 710-9939	Dr Blaze Sammon, OD W8159 S Us Highway 2/141 Ste 102, Iron Mountain, MI 49801-9423 Ph: (906) 779-9164

Reviews and Comments

Optometrist in Iron Mountain, MI

Dane Baker Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1700 N Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-774-6288
Dr. Steven Francis Moore, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300
Dr. Dean L Hartwig, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300
Elizabeth Grace Ramlow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 N Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-774-6288
Northern Eye Care Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Fairbanks St, Iron Mountain, MI 49801 Phone: 906-774-8280 Fax: 906-774-8290
Dr. Dane Baker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1115 S Hemlock St, Suite 5, Iron Mountain, MI 49801 Phone: 906-282-0669

Dr Blaze Sammon, OD - Medicare Optometrist in Iron Mountain, MI