DR. SIMONE P. BLAKE O.D.
NPI 1336120237
Optometrist in Dublin, OH

Q: What is Simone Blake's NPI number?

The NPI number for Simone Blake is 1336120237. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Simone Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Simone Blake was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment

6850 PERIMETER DR, SUITE A, DUBLIN, OH 43016(614) 789-5559(614) 789-5758 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Simone P. Blake O.d. NPPES

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

DR. SIMONE P. BLAKE O.D. (NPI 1336120237) is an individual optometrist in Dublin, Ohio, licensed in Ohio (5288) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2002).

NPPES Registry Identity

NPI1336120237

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SIMONE P. BLAKECredential: O.D.

Location Address6850 PERIMETER DR, SUITE ADublin, OH 43016-8051

Mailing Address6850 Perimeter Dr, Suite ADublin, OH 43016-8051 · (614) 789-5559 · Fax (614) 789-5758

Phone(614) 789-5559

Fax(614) 789-5758

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2002

Enumeration DateNovember 8, 2005

Last NPPES UpdateFebruary 28, 2008

✔ NPI 1336120237 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 OH · 5288

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.

6850 PERIMETER DR, Dublin, OH 43016

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Other Identifiers 3

Medicaid2333139OH

Medicare UPINU90795OH

Medicare PIN4086594OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Simone P. Blake O.d. 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 ID4486601200

PECOS Enrollment IDI20050405000055

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

40 services40 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 6

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

BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD

Orthopaedic Surgery (Foot and Ankle Surgery)

6850 PERIMETER DR
DUBLIN, OH 43016

Franklin County (614) 895-8747

DR. KELLY AR CLEVELAND

Optometrist

6850 PERIMETER DR, SUITE A
DUBLIN, OH 43016

Franklin County (614) 789-5559

MERIDIAN IMAGING CENTER

Radiology (Diagnostic Radiology)

6850 PERIMETER DR, UNIT C,
DUBLIN, OH 43016

Franklin County (614) 432-5438

PERIMETER WEST EYE CARE LLC

Optometrist

6850 PERIMETER DR, SUITE A
DUBLIN, OH 43016

Franklin County (614) 873-6665

DUBLIN FOOT AND ANKLE

Podiatrist (Foot & Ankle Surgery)

6850 PERIMETER DR, SUITE B
DUBLIN, OH 43016

Franklin County (614) 267-8387

MERIDIAN IMAGING CENTER, LLC

Clinic/Center (Radiology)

6850 PERIMETER DR, SUITE C
DUBLIN, OH 43016

Franklin County (614) 771-2229

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 Simone Blake's NPI number?

The NPI number for Simone Blake is 1336120237. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Simone Blake located?

Simone Blake practices at 6850 Perimeter Dr Suite A, Dublin, OH 43016. The listed phone number is (614) 789-5559.

What is Simone Blake's specialty?

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

Is Simone Blake enrolled in Medicare?

Yes. Simone Blake 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 Simone Blake accept?

Health plans from UnitedHealthcare list Simone Blake 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 Simone Blake was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.