Eric Robert Blickensderfer, OD
Individual provider Active NPI Optometrist · Huntington, IN
NPI 1750102083 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1750102083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18004621A (IN)
- Practice address
- 2880 Northpark Ave
Huntington, IN 46750-9700 - Phone
- (260) 356-6422
- Fax
- (260) 356-6423
- NPI assigned
- Oct 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marion Family Optometrists Inc
Practice addresses (Care Compare)
2880 Northpark Ave
Huntington, IN 46750-9700
Phone (260) 356-6422
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20251022002658 | IN | Practitioner - Optometry | 5193213031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004621A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Family Optometrists, Inc. | Optometrist | Current |
Accepting new patients |
| Marion Family Optometrists, Inc. | Optometrist | Current |
Accepting new patients |
Locations
2880 Northpark Ave
Huntington, IN 46750
Phone (260) 356-6422
506 S Washington St
Marion, IN 46953
Phone (765) 662-6648
55 S Wabash St
Peru, IN 46970
Phone (765) 327-2037
905 Manchester Ave
Wabash, IN 46992
Phone (260) 563-0884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004621A | IN | Yes |
Addresses
Primary practice location
2880 Northpark Ave
Huntington, IN 46750-9700
Mailing address
2880 Northpark Ave
Huntington, IN 46750-9700
Phone (260) 356-6422
Other practice location 1
905 Manchester Ave
Wabash, IN 46992-1639
Phone (260) 563-0884
Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. 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.