Blake Mitnick, O.D.
Individual provider Active NPI Optometrist · Floyd, VA
NPI 1275504367 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1275504367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000582 (VA)
- Practice address
- 211 W Main St
Floyd, VA 24091-3190 - Phone
- (540) 745-8733
- Fax
- (540) 745-6644
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
211 W Main St
Floyd, VA 24091-3190
Phone (540) 745-8733
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000853 | VA | Practitioner - Optometry | 6204826936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Blake Mitnick, Optometrist, PLC | Optometrist | Current |
Accepting new patients |
| National Optometric Center PLC | Optometrist | Past | Accepting new patients |
| Dr. Karen E. Boro and Associates | Optometrist | Past | Accepting new patients |
Locations
211 W Main St
Floyd, VA 24091
Phone (540) 745-8733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000582 | VA | Yes |
Addresses
Primary practice location
211 W Main St
Floyd, VA 24091-3190
Mailing address
211 W Main St
Floyd, VA 24091-3190
Phone (540) 745-8733
Other providers in Floyd, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.