KATHRYN BLAHNIK (O.D.) – Optometrist, NPI 1013700178

KATHRYN BLAHNIK (O.D.) is a healthcare provider. based in Port orange, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC6746 (FL). The NPI Number for KATHRYN BLAHNIK (O.D.) is 1013700178

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KATHRYN BLAHNIK (O.D.)
NPI
1013700178
Phone
(386) 492-6999
Address
3740 S RIDGEWOOD AVE UNIT 103
Enumeration Date
22 May 2025
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3864926999
Graduation Year
2025 (1 year ago)
PAC ID
6002328325
Group Practice PAC ID
4385701903
Professional Enrollment ID
I20250623003874
Address ID
FL321293519PO3740XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for KATHRYN BLAHNIK (O.D.)

  • 3740 S RIDGEWOOD AVE UNIT 103

    PORT ORANGE, FL 321293519

    Phone: (386) 492-6999

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250623003874IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385701903View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do I look up KATHRYN BLAHNIK (O.D.) by NPI?
Use NPI 1013700178 when you need to reference KATHRYN BLAHNIK (O.D.) in forms, claims, or directories.
Is KATHRYN BLAHNIK (O.D.) active in the national directory?
KATHRYN BLAHNIK (O.D.)'s public NPI profile is in an active state.
What field does KATHRYN BLAHNIK (O.D.) work in?
You can think of KATHRYN BLAHNIK (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is KATHRYN BLAHNIK (O.D.)'s primary listing?
We display Port Orange, Florida because that is what the record indicates for KATHRYN BLAHNIK (O.D.).
What if Port Orange, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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