| 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 |
|---|---|
| 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 |
Kathryn Blahnik, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129 Phone: 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 |