BRITTNEY BLAZEK (OD) – Optometrist, NPI 1225651300

BRITTNEY BLAZEK (OD) is a healthcare provider. based in Danville, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004212A (IN). The NPI Number for BRITTNEY BLAZEK (OD) is 1225651300

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRITTNEY BLAZEK (OD)
NPI
1225651300
Phone
(317) 699-2000
Address
95 N TENNESSEE ST
Enumeration Date
22 May 2020
Last Update Date
22 May 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3176992000
Graduation Year
2020 (6 years ago)
PAC ID
7315369725
Group Practice PAC ID
4880992080
Professional Enrollment ID
I20200611002747
Address ID
IN461221268DA95XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,127 OPTOMETRY in IN

Provider Addresses for BRITTNEY BLAZEK (OD)

  • 95 N TENNESSEE ST

    DANVILLE, IN 461221267

    Phone: (317) 699-2000

    Fax: (317) 718-1067

    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: 2020-06-11

PECOS data refreshed: 2026-06-15

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
I20200611002747IOptometryINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2920$0
92004New patient complete exam of visual system1616$0
92133Imaging of optic nerve1211$0
92250Photography of the retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 46122)

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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: 4880992080View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Is there an official ID for BRITTNEY BLAZEK (OD) in U.S. healthcare records?
The official identifier for BRITTNEY BLAZEK (OD) is NPI 1225651300.
Is BRITTNEY BLAZEK (OD) shown as active in public data?
Registry records indicate BRITTNEY BLAZEK (OD) maintains an active NPI.
What area of care is associated with BRITTNEY BLAZEK (OD)?
BRITTNEY BLAZEK (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRITTNEY BLAZEK (OD)?
Travel planning: use Danville, Indiana as the reference point for BRITTNEY BLAZEK (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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