Blaze Sammon, OD
- Medicare patients, 2024
- 158
- Part D claims, 2024
- 90
- Industry payments
- $68
- Affiliated sites
- 1
- Medical group
- 1
- Practice address
- 700 Pilgrim Way, Green Bay, WI 54304
- Practice phone
- Call (906) 779-9164
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Shopko Optical 4011
Green Bay, Wisconsin
Find Blaze Sammon's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Blaze Sammon is an optometrist in Green Bay, Wisconsin
Blaze Sammon practices at Shopko Optical 4011 in Green Bay, Wisconsin.
Blaze Sammon's NPI, 1093442121, was assigned on August 8, 2022. Blaze Sammon holds Michigan license 4901005661.
- NPI
- 1093442121NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8729443551
- NPI enumeration date
- August 8, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (906) 779-9164
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Blaze Sammon practices at Shopko Optical 4011 in Green Bay, Wisconsin
Blaze Sammon's primary practice is Shopko Optical 4011, at 700 Pilgrim Way, Green Bay, WI 54304 in Brown County. The practice phone is (906) 779-9164.
- Shopko Optical 4011700 Pilgrim Way, Green Bay, WI 54304 · Brown CountyPhone(906) 779-9164
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Blaze Sammon is affiliated with 2 sites of care and 1 medical group
Blaze Sammon's primary practice is Shopko Optical 4011 in Green Bay, Wisconsin. Dmand AI also links Blaze Sammon to 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Blaze Sammon's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Blaze Sammon practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Shopko Optical 4011 | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Blaze Sammon is one of 946 optometrists in Wisconsin
Optometrist is Blaze Sammon's primary specialty in the NPI Registry, under taxonomy code 152W00000X. Blaze Sammon is licensed in Michigan.
Specialties and state licenses
- Optometrist, MichiganPrimary
Optometrists near Blaze Sammon
Counts of optometrists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Blaze Sammon treated 158 Medicare patients in 2024, average age 74
CMS counts 158 Medicare patients who saw Blaze Sammon in 2024. The largest group is 65 to 74, with 83 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 0.98, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Blaze Sammon's median patient age at 66, with 59% women.
Blaze Sammon's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Blaze Sammon's Medicare patients by sex, 2024
- Women9359%
- Men6541%
Chronic conditions among Blaze Sammon's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes34%
- Arthritis33%
- Cancer23%
- Chronic kidney disease23%
- Ischemic heart disease23%
- Mood disorders23%
Share of Medicare patients with each condition. A patient can have several.
Blaze Sammon's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 66
Patient panel by sex, all payers
- Women59%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Blaze Sammon wrote 90 Medicare Part D claims in 2024
In 2024, Blaze Sammon wrote 90 Medicare Part D claims for 44 patients. 67% of them were for generic drugs.
Blaze Sammon's Part D claims by kind of drug, 2024
- Generic60 claims67%
- Brand-name30 claims33%
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Blaze Sammon takes part in Medicare
Blaze Sammon accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Blaze Sammon received $68 in industry payments in 2025
CMS Open Payments shows 4 general payments to Blaze Sammon from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Alcon Laboratories Inc paid the most, $68.
Companies that paid Blaze Sammon the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Blaze Sammon's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Blaze Sammon
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Blaze Sammon's NPI number?
Blaze Sammon's NPI number is 1093442121. It was assigned on August 8, 2022, and it is active in the NPI Registry.
What does Blaze Sammon specialize in?
Blaze Sammon is an optometrist in Green Bay, Wisconsin. The primary specialty in the NPI Registry is Optometrist (taxonomy code 152W00000X).
Where does Blaze Sammon practice?
Blaze Sammon practices at 700 Pilgrim Way, Green Bay, WI 54304. Blaze Sammon's primary practice is Shopko Optical 4011 in Green Bay, Wisconsin. Dmand AI also links Blaze Sammon to 1 group practice or clinic and 1 medical group.
What is Blaze Sammon's office phone number?
The practice phone on file for Blaze Sammon is (906) 779-9164.
What is Blaze Sammon's medical license number?
Blaze Sammon holds Michigan license 4901005661.
Does Blaze Sammon accept Medicare?
Yes. CMS lists Blaze Sammon as accepting Medicare assignment.
How many Medicare patients does Blaze Sammon see?
CMS counts 158 Medicare patients who saw Blaze Sammon in 2024, with an average age of 74.
Has Blaze Sammon received payments from drug or device companies?
CMS Open Payments shows $68 in general payments to Blaze Sammon from 1 company from 2025 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Blaze Sammon been practicing?
Blaze Sammon graduated from medical school in 2022, 4 years ago.
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