BRIAN BLUM (NPI# 1225446131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225446131 |
| Entity Type | Individual |
| Full Name | BRIAN BLUM |
| Credential | O.D. |
| Practice Address |
528 Chief Eddie Hoffman Hwy Bethel AK 99559 |
| Mailing Address |
1401 Joe Morse Dr Copperas Cove TX 76522-4750 |
| Practice Telephone | 9075436336 |
| Mailing Telephone | 2544231726 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 353 | AK | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053328914 | Brian Paul Blum | Psychiatry & Neurology | 247 E 28th St, Apartment 17a, New York, NY 10016-8508 | 2006-08-02 |
| 1912402033 | Brian Blum | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2018-03-29 |
| Street Address |
528 CHIEF EDDIE HOFFMAN HWY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366601 | Heather Heidorn | Pharmacist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2019-09-25 |
| 1891264727 | Laura Ann Koskenmaki | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-11-20 |
| 1053806414 | Ashley Fairbanks Glasheen | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2018-06-28 |
| 1538658398 | Kameron Shea Zimin | Dentist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-05-08 |
| 1841723681 | Justin Lawrence Willis | Pediatrics | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2017-04-08 |
| 1831646447 | Sadie M Green | Dental Therapist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0304 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| 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 |
|---|---|---|---|---|
| 1831634393 | Rishi R Patel | Optometrist | 18 Penny Ln, Bethel, CT 06801-1730 | 2016-12-19 |
| 1518296748 | Eyecare for You, PC | Optometrist | 1593 Vt Rt 107, Bethel, VT 05032 | 2009-12-17 |
| 1780814632 | Dean A Barcelow | Optometrist | 1593 Vermont Route 107, Bethel, VT 05032-4456 | 2009-07-24 |
| 1992872287 | Peter B. Lerner | Optometrist | 68 Stony Hill Rd, Bethel, CT 06801-3060 | 2006-11-29 |
| 1750393211 | Jerry Albert Barcelow | Optometrist | 1593 Vt Rte 107, Bethel, VT 05032-4456 | 2006-08-13 |
| 1285180562 | Isaac Thomas Kalistook | Optometrist | 900 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 | 2016-08-28 |
| 1083099659 | Dalila Lucatero | Optometrist | 829 Chief Eddie Hoffman Hwy, Suite 135, Bethel, AK 99559 | 2015-07-24 |
| 1902233760 | Rebecca E Barcelow | Optometrist | 1593 Vermont Route 107, Bethel, VT 05032-4456 | 2013-10-10 |
| 1083960215 | Dr. Moore and Associates LLC | Optometrist | 7 Stony Hill Rd, Bethel, CT 06801-1030 | 2012-07-25 |
| 1053601021 | Mountain View Eyecare, Pa | Optometrist | 140 Main St, Bethel, ME 04217-0955 | 2011-04-12 |
| Find all providers in BETHEL | ||||
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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.