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DR. BLAKE MITNICK, OPTOMETRIST, PLC
NPI 1013018423
Optometrist in Floyd, VA

Active since September 26, 2006
211 W MAIN ST, FLOYD, VA 24091(540) 745-8733 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Blake Mitnick, Optometrist, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE MITNICK, OPTOMETRIST, PLC (NPI 1013018423) is a healthcare organization registered as an optometrist in Floyd, Virginia and active in the NPI registry since September 2006. The organization lists Blake Mitnick, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1013018423
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. BLAKE MITNICK, OPTOMETRIST, PLC
Location Address211 W MAIN STFloyd, VA 24091-3190
Mailing Address211 W Main StFloyd, VA 24091-3190 · (540) 745-8733
Phone(540) 745-8733
Organization SubpartNo
Authorized OfficialBlake MitnickOptometrist · (540) 745-8733
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 5, 2010
✔ NPI 1013018423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618000582
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
211 W MAIN ST, Floyd, VA 24091
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Other Identifiers 3

Medicare NSC5950200001
Medicare UPINU40367VA
Medicaid1013018423VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Mitnick, Optometrist, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Blake Mitnick, Optometrist, Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Blake Mitnick, O.D.
Optometry
NPI 1275504367
211 W MAIN ST
Floyd, VA 24091
(540) 745-8733
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Blake Mitnick, Optometrist, Plc's NPI number?

The NPI number for Dr. Blake Mitnick, Optometrist, Plc is 1013018423. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Dr. Blake Mitnick, Optometrist, Plc located?

Dr. Blake Mitnick, Optometrist, Plc is located at 211 W Main St, Floyd, VA 24091. The listed phone number is (540) 745-8733.

What is Dr. Blake Mitnick, Optometrist, Plc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr. Blake Mitnick, Optometrist, Plc enrolled in Medicare?

Yes. Dr. Blake Mitnick, Optometrist, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Blake Mitnick, Optometrist, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Blake Mitnick, Optometrist, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Blake Mitnick, Optometrist, Plc was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.