MEDICARE: JEROME THOMAS BLASCHKE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1926	MN

General Provider Information

NPI Number	:	1265429849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEROME THOMAS BLASCHKE OD

Provider Business Mailing Address
First Line	:	1160 WAYZATA BLVD E
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-1963
Country	:	US
Telephone Number	:	952-473-7505
Fax Number	:	952-473-9880

Provider Business Practice Location Address
First Line	:	1160 WAYZATA BLVD E
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-1963
Country	:	US
Telephone Number	:	952-473-7505
Fax Number	:	952-473-9880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	07/01/2024

Similar Medicare Providers

1932158375 — FAMILY EYE CLINIC & CONTACT LENS CENTER
Practice Location Address:

1160 WAYZATA BLVD E
WAYZATA, MN
55391-1963

Practice Phone: 952-473-7505
Practice Fax: 952-473-9880

1407784747 — BELIEF LABS LLC
Practice Location Address:

1250 WAYZATA BLVD E STE 1
WAYZATA, MN
55391-4115

Practice Phone: 320-309-8913
Practice Fax:

1003812991 — DR. MARK EUGENE BREWER DC
Practice Location Address:

3800 SHORELINE DR
WAYZATA, MN
55391-9785

Practice Phone: 952-471-2555
Practice Fax: 952-471-2556

1386645620 — DR. NICHOLAS J SCHMITT MD
Practice Location Address:

250 CENTRAL AVE N STE 105
WAYZATA, MN
55391-1207

Practice Phone: 763-416-7600
Practice Fax: 763-416-7634

1275527442 — DR. BRUCE J MARTINSON DDS
Practice Location Address:

317 WAYZATA BLVD E
WAYZATA, MN
55391-1683

Practice Phone: 952-473-4639
Practice Fax: 952-473-1788

1992791651 — CARRIE DIANE PARENTE MD
Practice Location Address:

250 CENTRAL AVE N STE 114
WAYZATA, MN
55391-1232

Practice Phone: 952-476-0783
Practice Fax: 952-487-0573

Directions to “ JEROME THOMAS BLASCHKE OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.