Brandon a. Blair, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRANDON A. BLAIR, O.D., P.C.

Practice address

1511 M St
Ord, NE 68862-1428

Phone

(308) 729-3229

Fax

(308) 728-5908

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Brandon A. Blair, ODNPI 1295735702

Title

Owner

Phone

(308) 728-3229

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Professional Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C.

  • Optometrist
  • Loup City, NE
  • NPI 1396813200

  O20090721000677

  Same enrollment

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Brandon A. Blair, O.D.

  • Optometrist
  • Ord, NE
  • NPI 1295735702

  NE, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1245308253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 M ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621428",
            "telephone_number": "308-729-3229",
            "fax_number": "308-728-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 M ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621428",
            "telephone_number": "308-729-3229",
            "fax_number": "308-728-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON A. BLAIR, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-728-3229",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410044452",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410026405",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon A. Blair, O.D.
• Jessica Bokish
• Blake Evan Bollwitt, DPT
• Yvonne Bopp
• Shelley K. Boyce, LMHP, CPC
• Rebecca Lynn Brawdy
• Jeffrey John Breitkreutz, PA-C
• Jenna Jo Breitkreutz, RN
• Lisa Marie Bruha
• Hannah Rose Buck

• All providers in Ord, NE
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.