Organization Active NPI

Blenker Eye Care PLLC

  • Optometrist
  • Saint Paul, MN
National Provider Identifier
1508217332
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2573 Issued in MN
Legal business name
BLENKER EYE CARE PLLC
Practice address
261 Ruth St N Ste E
Saint Paul, MN 55119-4337
Phone
(651) 739-5173
Fax
(651) 739-8907
NPI assigned
Jun 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Authorized official

Name
Julie M BlenkerNPI 1043265267
Title
Owner
Phone
(763) 292-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2573 MN Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

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

Mailing address

7244 Crane Dr
Lino Lakes, MN 55038-4701
Phone (763) 292-0101

Other names 1

  • Scenic Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160712001666 MN Part B Supplier - Clinic/Group Practice 5193017168 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

261 Ruth St N
Ste E
Saint Paul, MN 55119
Phone (651) 739-5173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1508217332",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "BLENKER EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "BLENKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-292-0101"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2573",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.