ALYSON L BLAKSTAD (OD) – Corneal and Contact Management Optometrist, NPI 1427043660

ALYSON L BLAKSTAD (OD) is a healthcare provider. based in Bloomington, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2673 (MN). The NPI Number for ALYSON L BLAKSTAD (OD) is 1427043660

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ALYSON L BLAKSTAD (OD)
NPI
1427043660
Phone
(952) 567-6092
Address
9801 DUPONT AVE S
Enumeration Date
14 September 2005
Last Update Date
15 September 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9528885800
Graduation Year
1998 (28 years ago)
PAC ID
5092904441
Group Practice PAC ID
4284524539
Professional Enrollment ID
I20110115000013
Address ID
MN554313200BL9801XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for ALYSON L BLAKSTAD (OD)

  • Smiles For Life Dental of Bloomington, 9801, Dupont Avenue South, Bloomington, Hennepin County, Minnesota, 55431, United States

    SUITE 425

    BLOOMINGTON, MN 554313100

    Phone: (952) 567-6092

    Fax: (952) 567-6176

    Type: Mailing

  • 10709 WAYZATA BLVD STE 200

    MINNETONKA, MN 553055509

    Phone: (952) 888-5800

    Fax: (952) 567-6156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($34).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-15

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
I20110115000013IOptometryMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes215161$0
92014Established patient complete exam of visual system143143$0
92083Exam of visual field with extended testing8583$0
92133Imaging of optic nerve7373$0
92134Imaging of retina2624$0
View full utilization report →

Insurance plans in this area (ZIP 55431)

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Provider's Procedures

ALYSON L BLAKSTAD (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMN92083Measurement of field of vision during daylight conditions4740
OPTOMETRYMN92134Diagnostic imaging of retina2522

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: 4284524539View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN
-MN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What NPI should I save for ALYSON L BLAKSTAD (OD)?
Save NPI 1427043660 if you need a stable reference for ALYSON L BLAKSTAD (OD).
Is ALYSON L BLAKSTAD (OD) currently active in the NPI registry?
CMS-published data lists ALYSON L BLAKSTAD (OD) as an active registrant.
What kind of provider is ALYSON L BLAKSTAD (OD)?
The page reflects Corneal and Contact Management Optometrist for ALYSON L BLAKSTAD (OD). Clinical services aligned with this taxonomy classification.
Where does public data place ALYSON L BLAKSTAD (OD)?
The snapshot lists Bloomington, Minnesota for ALYSON L BLAKSTAD (OD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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