DR. BLAKE THOMAS DIRKS OD NPI 1629145057

NPI Information

  • NPI: 1629145057
  • Provider Name: DR. BLAKE THOMAS DIRKS, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 SUNRISE DR
    SAINT PETER, MN
    ZIP 56082
  • Phone: (507) 931-6436

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NPI Details

DR. Blake Thomas Dirks, OD is an optometrist in Saint Peter, MN with 40 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Blake Thomas Dirks, OD NPI is 1629145057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year:1986

The provider's business location address is:

320 SUNRISE DR
SAINT PETER, MN
ZIP 56082-352
Phone: (507) 931-6436
Fax: (507) 934-9625

The NPI 1629145057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of retina (HCPCS:92134)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of optic nerve (HCPCS:92133)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 2/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist2076MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1410005042OTHERRAILROAD MEDICARE
20322460001MEDICARE NSCMINNESOTA
30582866OTHERIOWA MA
4114330OTHERMINNESOTAUCARE
5HP28649OTHERMINNESOTAHEALTH PARTNERS
6419000213MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
722 12052OTHERMEDICA
81001626OTHERPREFERRED ONE
91D065DIOTHERMINNESOTABCBS
10T65460MEDICARE UPIN
11228223200MEDICAIDMINNESOTA
1221 16066OTHEREYEWEAR MEDICA
1344977THOTHERBLUE PLUS EYEWEAR
140322460001OTHERDMERC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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