DR. BRANDON BLAKER (NPI# 1093894230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093894230 |
| Entity Type | Individual |
| Full Name | DR. BRANDON BLAKER |
| Credential | O.D. |
| Practice Address |
205-b West Water St. Kerrville TX 78028 |
| Practice Telephone | 8308964044 |
| Practice Fax Number | 8302576419 |
| Mailing Telephone | 8308964044 |
| Mailing Fax Number | 8302576419 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6429TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160081902 | 05 | |
| TX | COLE | TX6429 | 01 |
| TX | CHIPS/COMMFIRST | 32624 | 01 |
| TX | BCBS | 80598Q | 01 |
| TX | RAILROAD MEDICARE | P00121646 | 01 |
| TX | EYEMED | TX6429 | 01 |
| TX | CHIPS/STAR | 32648 | 01 |
| Street Address |
205-B WEST WATER ST. |
| City | KERRVILLE |
| State | TX |
| Zip Code | 78028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982247201 | Js Clark Holdings LLC | In Home Supportive Care | 1001 Water St Bldg. G, Kerrville, TX 78028 | 2019-10-18 |
| 1265931232 | Nancy Ellen Morris | Nurse Practitioner | 1331 Bandera Hwy Ste. 2, Kerrville, TX 78028 | 2018-02-06 |
| 1396254181 | Ha Huynh | Occupational Therapist | 1213 Water Street, Kerrville, TX 78028 | 2017-09-25 |
| 1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
| 1710422597 | Tracy L. Flowers | Speech-Language Pathologist | 306 Westey Dr., Ste A, Kerrville, TX 78028 | 2017-01-03 |
| 1104271576 | Laurence Robert Bower IIi | Clinic/Center | 207b Sidney Baker Street S, Kerrville, TX 78028 | 2016-05-04 |
| 1760865505 | Kathryn Figer | Internal Medicine | 551 Hill Country Dr Dept Of, Kerrville, TX 78028 | 2015-06-29 |
| 1992187892 | Caroline Z Garcia | Counselor | 819 Water St Ste 130, Kerrville, TX 78028 | 2015-06-26 |
| 1124405188 | Str8 Smiles Inc | Dentist | 115 Plaza Drive, Apt 5005, Kerrville, TX 78028 | 2015-04-29 |
| 1447655782 | Jesus Ramirez | Counselor | 222 Sidney Baker Suite 435, Kerville, TX 78028 | 2014-10-29 |
| Find all providers in zip 78028 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329632 | Hiten Patel | Optometrist | 1810 Sidney Baker St, Kerrville, TX 78028-2644 | 2019-04-06 |
| 1720517477 | Layne Mari Ford | Optometrist | 714 Hill Country Dr, Kerrville, TX 78028-6066 | 2017-06-07 |
| 1093944845 | Heather Anderegg | Optometrist | 1001 Water St Ste E-100, Kerrville, TX 78028-3761 | 2009-07-14 |
| 1497945919 | Benito Pena | Optometrist | 237 W Water St, Kerrville, TX 78028-4252 | 2007-07-31 |
| 1467592931 | Jules W. Dupuy | Optometrist | 205 B West Water Street, Kerrville, TX 78028 | 2007-02-07 |
| 1316006091 | Brandon Blaker O D P C | Optometrist | 205b W Water St, Kerrville, TX 78028-4252 | 2006-12-08 |
| 1679674006 | Stanley Martin Kremp | Optometrist | 500 Junction Hwy, Kerrville, TX 78028 | 2006-09-26 |
| 1013015114 | Vision Optics PC | Optometrist | 1305 Sidney Baker St Ste B, Kerrville, TX 78028-2737 | 2006-09-20 |
| 1912945726 | Peter J Rothermel | Optometrist | 205 B West Water, Kerrville, TX 78028-2737 | 2006-06-03 |
| 1114900990 | Bret B Ford | Optometrist | 714 Hill Country Drive, Kerrville, TX 78028-6066 | 2005-11-25 |
| Find all providers in KERRVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.