Julie M Blenker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2573 Issued in MN

Practice address

261 Ruth St N Ste E
Saint Paul, MN 55119-4337

Phone

(651) 739-5173

Fax

(651) 739-8907

NPI assigned

May 24, 2006

Last updated

Mar 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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 California College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blenker Eye Care PLLC

  dba Scenic Eye Care

  • Optometrist
  • Saint Paul, MN
  • NPI 1508217332
  Medicare reassignment Authorized official
• Brandon Eyes, Inc.

  • Optometrist
  • Middleton, WI
  • NPI 1851499313
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1043265267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 CRANE DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550384701",
            "telephone_number": "763-292-0101",
            "fax_number": "651-788-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 RUTH ST N STE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194337",
            "telephone_number": "651-739-5173",
            "fax_number": "651-739-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Market Dr",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827504",
            "country_code": "US",
            "telephone_number": "651-439-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLENKER",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2652-035",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38619800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Timothy Blaske, MA, LPCC
• Thomas Anthony Blass
• Patrick Male (M) Blay
• Catherine Mae Bledsoe, MD
• Blenker Eye Care PLLC (Scenic Eye Care)
• Angela Marie Blesener, MS, NCC
• Bless Health LLC
• Blist Social Services LLC
• Amy Crawford Blitzer, NP-C, DNP, RN
• Jenna C Block, MSW, LICSW

• Optometrist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.