Blair and Ellis P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLAIR AND ELLIS P.A.

Practice address

3800 N Mesa St Ste B1
El Paso, TX 79902-1535

Phone

(915) 533-1811

Fax

(915) 533-3641

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

John L Ellis II, O.D.NPI 1417947417

Title

Co Owner

Phone

(915) 533-1811

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• University Vision Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Ellis II, OD

  • Optometrist
  • El Paso, TX
  • NPI 1417947417
  Medicare reassignment Care Compare group NPD Authorized official
• Perla Delgado, OD

  • Optometrist
  • El Paso, TX
  • NPI 1417643057
  Medicare reassignment Care Compare group NPD
• Ammon Don Garner, O.D.

  • Optometrist
  • El Paso, TX
  • NPI 1881958619
  Medicare reassignment Care Compare group NPD
• Angela C Koplos, OD

  • Optometrist
  • El Paso, TX
  • NPI 1609903038
  Medicare reassignment Care Compare group NPD
• Kierrah Marie Llanos, O.D.

  • Optometrist
  • El Paso, TX
  • NPI 1821985755
  Medicare reassignment Care Compare group NPD
• Gabriel Luna, OD

  • Optometrist
  • El Paso, TX
  • NPI 1457027237
  Medicare reassignment Care Compare group NPD
• Gabriel I Davila, O.D.

  • Optometrist
  • El Paso, TX
  • NPI 1568031656
  Medicare reassignment NPD
• Karina A Quinones, O.D.

  • Optometrist
  • El Paso, TX
  • NPI 1114596376
  Medicare reassignment NPD
• Lindsey Kennedy, O.D.

  • Optometrist
  • Wamego, KS
  • NPI 1972057677

  Optometrist, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1104950989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021535",
            "telephone_number": "915-533-1811",
            "fax_number": "915-533-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021535",
            "telephone_number": "915-533-1811",
            "fax_number": "915-533-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR AND ELLIS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "915-533-1811",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160388801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180559001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35FC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96256028",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Vision Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Vision Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramona Black, LMT
• Richard C Black, DDS
• Andrew James Blackburn, PT
• Arthur Bert Blackburn, M.D.
• Joyce Blackledge
• Joe K Blair II, CRNA
• Terry Bruce Blair, OD
• Tony Lenere Blair, FNP
• Cynthia Blake, LPC
• Oscar Blanc, M.D.

• All providers in El Paso, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.