Kathryn Blahnik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6746 Issued in FL

Practice address

3740 S Ridgewood Ave Unit 103
Port Orange, FL 32129-3519

Phone

(386) 492-6999

NPI assigned

May 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blahnik Eye Care Inc 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blahnik Eye Care Inc

  • Optometrist
  • Port Orange, FL
  • NPI 1043462914

  FL, Optometrist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1013700178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 S RIDGEWOOD AVE UNIT 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293519",
            "telephone_number": "386-492-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 S RIDGEWOOD AVE UNIT 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293519",
            "telephone_number": "386-492-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHNIK",
        "first_name": "KATHRYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BJ'S Wholesale Club Inc.
• Doris Black
• Stephen Jeffery Blackhurst II, RN
• Theresa Patricia Blackwood, SLP
• Blahnik Eye Care Inc
• Suzette Ann Blahnik, O.D.
• Chedine Blair
• Sarah Blake
• Loretta Blanchard, NP
• Brandon Blanding

• All providers in Port Orange, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.