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Active NPI 1093442121 Individual Practitioner Male Practitioner

Dr. Blaze Sammon , OD

Optometrist • Iron Mountain, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Blaze Sammon, OD is a certified Optometrist practicing in Iron Mountain, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Dr. Sammon delivers high-quality medical care to the local community at W8159 S US HIGHWAY 2/141 STE 102.

Dr. Sammon is affiliated with Shoptikal Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

W8159 S Us Highway 2/141 Ste 102

Iron Mountain, MI 498019423

Telephone 9067799164
Fax 9067745547
Associated Practice Facility / Clinic
🏢 Shoptikal Llc Facility NPI 1831755255

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Iron Mountain, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Iron Mountain, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
9.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sammon (4 Years) 4 Yrs
Iron Mountain Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
70 68 $102.03 $86.14
92014 Established patient complete exam of visual system
40 40 $71.38 $70.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 25 $63.07 $53.41
92004 New patient complete exam of visual system
14 14 $71.43 $70.53
92250 Photography of the retina
11 11 $41.18 $33.96

Medical Specialties & State Licenses

CMS Verified: 2025-10-16
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901005661

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.

Hospital & Practice Group Affiliations

Shoptikal Llc

W8159 S Us Hwy 2/141 102, Iron Mountain, MI 498019423

Phone: 9067799164

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 16, 2025

Registered at W8159 S US HIGHWAY 2/141 STE 102, IRON MOUNTAIN, MI 498019423 (Tel: 9067799164)

📍
Updated Business Mailing Address October 16, 2025

Registered at W1974 BEAVER PETE RD, VULCAN, MI 498928226 (Tel: 6167109939)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2025

Optometrist (License #4901005661 in MI)

NPI Profile Active August 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2022

Registered at 3501 MCFARLAND BLVD E, TUSCALOOSA, AL 354052419 (Tel: 2055567950)

📍
Updated Business Mailing Address August 08, 2022

Registered at 209 HILL ST, NIAGARA, WI 541511411 (Tel: 6167109939)

👤
Provider Name / Credentials Updated August 08, 2022

Recorded as BLAZE SAMMON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2022

Optometrist (License #S-F07-TA-C67 in AL)

🟢
Initial NPI Registration & Enumeration August 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093442121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2022
Last Update: October 16, 2025
Sole Proprietor: Yes

Mailing Address

W1974 Beaver Pete Rd

Vulcan, MI 498928226

Phone: 6167109939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.