Individual provider Active NPI

Brandon A. Blair, O.D.

  • Optometrist
  • Ord, NE
National Provider Identifier
1295735702
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1158 Issued in NE
Practice address
1511 M St
Box 263
Ord, NE 68862-1428
Phone
(308) 728-3229
Fax
(308) 728-5908
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1158 NE Primary

Addresses

Primary practice location

1511 M St
Box 263
Ord, NE 68862-1428

Mailing address

1511 M St
Box 263
Ord, NE 68862-1428
Phone (308) 728-3229

Other identifiers 3

IdentifierTypeStateIssuer
47063736303MedicaidNE
06753OtherNEBLUE CROSS BLUE SHIELD
47063736302MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000713 NE Practitioner - Optometry 7517019623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Eye Centers IncGroup PAC ID 0648602284, 19 clinicians

Practice addresses (Care Compare)

1511 M St
Ord, NE 68862-1428
Phone (308) 728-3229

3610 W Norfolk Ave
Norfolk, NE 68701-7702
Phone (402) 371-8230

Merit-based Incentive Payment System (MIPS)

Final score
10.83 of 100Reported as individual
Quality
21.67
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1158NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon a. Blair, O.D., P.C. Optometrist CurrentSince Aug 1, 2000 Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients
Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C. Optometrist CurrentSince Aug 1, 2000 Accepting new patients
Unity Eye Centers Inc Optometrist Current Accepting new patients
Unity Eye Centers Inc Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

3610 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8230

1511 M St
Ord, NE 68862
Phone (308) 728-3229

1511 M St
#263
Ord, NE 68862
Phone (308) 728-3229

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1295735702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 M ST",
            "address_2": "BOX 263",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621428",
            "telephone_number": "308-728-3229",
            "fax_number": "308-728-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 M ST",
            "address_2": "BOX 263",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621428",
            "telephone_number": "308-728-3229",
            "fax_number": "308-728-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "BRANDON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063736303",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06753",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063736302",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.