Michael Alan Blair, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

P5158 Issued in TX

Practice address

801 W Randol Mill Rd Ste 201
Arlington, TX 76012-2505

Phone

(817) 277-6433

Fax

(817) 277-9086

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Missouri, Columbia School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D. Todd Ford, MD PAGroup PAC ID 9638072879, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.32 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mblair2020@fordeyectr.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• D. Todd Ford, MD PA

  • Specialist
  • Arlington, TX
  • NPI 1538293436
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1104949841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W RANDOL MILL RD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122505",
            "telephone_number": "817-277-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W RANDOL MILL RD STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122505",
            "telephone_number": "817-277-6433",
            "fax_number": "817-277-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639184",
            "country_code": "US",
            "telephone_number": "817-477-0223",
            "fax_number": "817-277-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "24539",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blacketer Enterprises, Inc
• Jodi Marie Blacketer, PT
• Lisa Blackman, M.S., R.D., L.D
• Treva Blackman, SLP
• Vicki A Blackmon-Davis, M.D.
• Paris M Blake, LMFT
• Katrina Blakely, RN
• Tracy Scott Blakley Jr., DC
• Susan Blanchard, LPC
• Laura Blanco

• Ophthalmology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.