BRANDON BLAKER O D P C (NPI# 1912046723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912046723 |
| Entity Type | Organization |
| Organization Name | BRANDON BLAKER O D P C |
| Other Organization Name | HILL COUNTRY VISION CENTER |
| Practice Address |
508 S Adams St Fredericksburg TX 78624-4437 |
| Mailing Address |
205 B West Water St Kerrville TX 78028 |
| Practice Telephone | 8309972504 |
| Practice Fax Number | 8309975155 |
| Mailing Telephone | 8308964044 |
| Mailing Fax Number | 8302576419 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | BRANDON J BLAKER (PRESIDENT) |
| Authorized Official Telephone | 8309972504 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | TX6429TG | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1952441503 | 05 |
| Other Name | Type Code |
|---|---|
| HILL COUNTRY VISION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396884979 | Brandon Blaker O D P C | Eyewear Supplier (Equipment, not the service) | 1620 Avenue M, Hondo, TX 78861-1756 | 2007-02-06 |
| 1316006091 | Brandon Blaker O D P C | Optometrist | 205b W Water St, Kerrville, TX 78028-4252 | 2006-12-08 |
| 1689032658 | Brandon Blaker O D P C | Eyewear Supplier (Equipment, not the service) | 301 10th St Ste 3, Floresville, TX 78114-3197 | 2016-02-05 |
| 1922148857 | Brandon Blaker O D P C | Eyewear Supplier (Equipment, not the service) | 205b W Water St, Kerrville, TX 78028-4252 | 2007-02-08 |
| 1952441503 | Brandon Blaker O D P C | Eyewear Supplier (Equipment, not the service) | 205b W Water St, Kerrville, TX 78028 | 2007-02-06 |
| Street Address |
508 S ADAMS ST |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023026408 | W. Steve Kroeger | Optometrist | 508 S Adams St, Fredericksburg, TX 78624-4437 | 2006-08-03 |
| 1184950768 | Sylvia Sieker | Hearing Instrument Specialist | 508 S Adams St, Fredericksburg, TX 78624-4437 | 2009-11-02 |
| 1023026333 | W. Steve Kroeger O.d., P.a. | Optometrist | 508 S Adams St, Fredericksburg, TX 78624-4437 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538345921 | For Eyes Optical Co. of Pennsylvania, Inc. | Eyewear Supplier (Equipment, not the service) | 9861 Jefferson Davis Hwy, Fredericksburg, VA 22407-9422 | 2008-01-15 |
| 1215082763 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3102 Plank Rd Ste 395, Fredericksburg, VA 22407 | 2007-01-24 |
| 1629122783 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3985 Plank Road, Fredericksburg, VA 22407 | 2007-01-23 |
| 1578574307 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 400 Spotsylvania Mall, Fredericksburg, VA 22401 | 2006-08-10 |
| 1164469516 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Carl D Silver Pkwy, Fredericksburg, VA 22401-4960 | 2006-06-01 |
| 1386250413 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 3985 Plank Rd, Fredericksburg, VA 22407-6838 | 2020-09-23 |
| 1033584008 | Eye Armor, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Spotsylvania Mall, Fredericksburg, VA 22407 | 2015-12-02 |
| 1558755819 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3102 Plank Rd Ste 600, Fredericksburg, VA 22407-4928 | 2015-03-25 |
| 1225200819 | Access Eye Centers, PC | Eyewear Supplier (Equipment, not the service) | 110 Cambridge St, Fredericksburg, VA 22405-1924 | 2008-03-24 |
| 1427236892 | Access Eye Centers, PC | Eyewear Supplier (Equipment, not the service) | 4516 Plank Rd., Fredericksburg, VA 22407-0147 | 2008-02-07 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on BRANDON BLAKER O D P C.
| 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.