SUZETTE ANN BLAHNIK O.D.
NPI 1619927118
Optometrist in Port Orange, FL
About Suzette Ann Blahnik O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUZETTE ANN BLAHNIK O.D. (NPI 1619927118) is an individual optometrist in Port Orange, Florida, licensed in Florida (OPC2506) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Suzette Ann Blahnik 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.
Medicare Billing Reassignments
2Medicare enrollment records show Suzette Blahnik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Orange, FL 32129
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Hayward, WI 54843
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Lac Courte Oreilles Governing Board
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Suzette Blahnik's NPI number?
The NPI number for Suzette Blahnik is 1619927118. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Suzette Blahnik located?
Suzette Blahnik practices at 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129. The listed phone number is (386) 492-6999.
What is Suzette Blahnik's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Suzette Blahnik enrolled in Medicare?
Yes. Suzette Blahnik 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.
Which organizations bill Medicare for Suzette Blahnik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suzette Blahnik reassigns Medicare benefits to 2 organizations: Blahnik Eye Care Inc (Port Orange, FL) and Lac Courte Oreilles Governing (Hayward, WI). Each 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 Suzette Blahnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suzette Blahnik accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 10 other insurers list Suzette Blahnik 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 Suzette Blahnik was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Suzette Ann Blahnik, O.D. · NPI 1619927118
Optometrist provider in Port Orange, Florida. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1619927118 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC2506 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3740 S RIDGEWOOD AVE UNIT 103, Port Orange, FL 32129-3519
- **Phone:** (386) 492-6999 · **Fax:** (386) 492-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Blahnik Eye Care Inc (NPI 1043462914, Port Orange, FL); Lac Courte Oreilles Governing (NPI 1194830208, Hayward, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** June 9, 2009
- **Other identifiers:** Medicaid 078846500 (FL); Medicare PIN 20322 (FL); Other OPC2506 (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619927118) · Data from the CMS NPPES public registry.