DR. SAMANTHA ANN BLANKE OD
NPI 1245929140
Optometrist in Ft Mitchell, KY

Active since May 05, 2023PECOS EnrolledAccepts Medicare Assignment
2174 DIXIE HWY, FT MITCHELL, KY 41017(859) 341-2566 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Jul 5, 2023, May 5, 2023 (3 updates tracked since 2023).

About Dr. Samantha Ann Blanke Od NPPES

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

DR. SAMANTHA ANN BLANKE OD (NPI 1245929140) is an individual optometrist in Ft Mitchell, Kentucky, licensed in Oregon (ATI4665) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1245929140
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMANTHA ANN BLANKECredential: OD
Location Address2174 DIXIE HWYFt Mitchell, KY 41017-2972
Mailing Address3405 Woodland DrManitowoc, WI 54220-9664 · (920) 905-2836
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2023
Enumeration DateMay 5, 2023
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1245929140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OR · ATI4665
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.
2174 DIXIE HWY, Ft Mitchell, KY 41017

Secondary Practice Locations 2

Location 11114 Fashion Ridge Rd # Vision1Dry Ridge, KY 41035-9609 · Phone (859) 824-4415
Location 215259 SE 82nd Dr Ste 101Clackamas, OR 97015-6609 · Phone (920) 905-2836

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Ann Blanke Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082153192
PECOS Enrollment IDI20240903001463
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2174 DIXIE HWY
FORT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FORT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FORT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FORT MITCHELL, KY 41017
Optometrist
2174 DIXIE HWY
FORT MITCHELL, KY 41017

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 Samantha Blanke's NPI number?

The NPI number for Samantha Blanke is 1245929140. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Samantha Blanke located?

Samantha Blanke practices at 2174 Dixie Hwy, Ft Mitchell, KY 41017. The listed phone number is (859) 341-2566.

What is Samantha Blanke's specialty?

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

Is Samantha Blanke enrolled in Medicare?

Yes. Samantha Blanke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Blanke accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Samantha Blanke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Blanke was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.