Blake Mitnick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000582 Issued in VA

Practice address

211 W Main St
Floyd, VA 24091-3190

Phone

(540) 745-8733

Fax

(540) 745-6644

NPI assigned

Jan 28, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

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 VA

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

New England College of Optometry, 1983

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

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.

• Dr. Blake Mitnick, Optometrist, PLC

  • Optometrist
  • Floyd, VA
  • NPI 1013018423
  Medicare reassignment NPD Authorized official
• Dr. Karen E. Boro and Associates

  dba National Optometric Center

  • Optometrist
  • Roanoke, VA
  • NPI 1063504538
  NPD (past)
• National Optometric Center PLC

  • Optometrist
  • Roanoke, VA
  • NPI 1184679052
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275504367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240913190",
            "telephone_number": "540-745-8733",
            "fax_number": "540-745-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240913190",
            "telephone_number": "540-745-8733",
            "fax_number": "540-745-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITNICK",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D Logan, MSN, APRN, FNP-C
• Jared D March, DO
• Shalene Young Massie, CD
• Jonathan J McNamara, LCSW
• Allyson Meek, OT
• Marcia Lynn Morrison, L.AC., MTCM
• Adam Murray, DC
• Anand Murthy
• Nurture Nature LLC
• Pat Scott-Cobb Counseling, LLC

• Optometrist in Floyd, VA
• Providers in Floyd, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.