Blake Pittser, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007382 Issued in OH

Practice address

87 Fairway Dr
Wilmington, OH 45177-8941

Phone

(937) 382-2433

NPI assigned

May 6, 2025

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

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

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason Pittser O.D., Inc.Group PAC ID 9234025446, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Pittser OD Inc.

  • Optometrist
  • Wilmington, OH
  • NPI 1306925672
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1033908900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 DECKER DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423964",
            "telephone_number": "740-463-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FAIRWAY DR",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451778941",
            "telephone_number": "937-382-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 S Patterson Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454022684",
            "country_code": "US",
            "telephone_number": "740-463-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTSER",
        "first_name": "BLAKE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon K Petrey
• Terina Pfeifer
• Jacqueline Rose Pfeil, DPT
• Emily Renee Piatt, LPN
• Allison M Pierce
• Darlene J Pitzer
• Jesse Holt Pohly, PA-C
• Laura Poindexter
• Antonio Christopher Poma
• Emily Megan Poppaw

• Optometrist in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.