Blair Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2800 Issued in CO

Legal business name

BLAIR VISION CARE, LLC

Practice address

700 Main St
Canon City, CO 81212

Phone

(719) 431-6434

Fax

(719) 431-6435

NPI assigned

Sep 3, 2010

Last updated

Oct 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Blair, O.D.NPI 1871807321

Title

Owner

Phone

(719) 362-3483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Blair Vision Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blair Vision Care, LLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1396386843
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Blair, O.D.

  • Optometrist
  • Canon City, CO
  • NPI 1871807321
  Medicare reassignment NPD Authorized official
• Devin Jackson

  • Optometrist
  • Colorado Springs, CO
  • NPI 1720574544
  Medicare reassignment NPD

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1134436728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123739",
            "telephone_number": "719-431-6434",
            "fax_number": "719-431-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "719-431-6434",
            "fax_number": "719-431-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 E US Highway 50",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812122797",
            "country_code": "US",
            "telephone_number": "719-362-3483",
            "fax_number": "719-269-8458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3958 N Academy Blvd Ste 108-109",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175919",
            "country_code": "US",
            "telephone_number": "719-999-8404",
            "fax_number": "719-999-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLAIR VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-362-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Beus, DMD
• Tina Lorraine Bezona, LPC
• Kellie Bird
• Robert Marvin Bischoff, PTA
• Ginger L Bivens, RN
• Nicholas Blair, O.D.
• Kristy Blood
• Dennis Bloomquist
• Roger D Bogich, BA
• David Bokel

• Optometrist in Canon City, CO
• Providers in Canon City, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.