Active NPI
Brandon A. Blair, O.D.
- Optometrist
- Ord, NE
National Provider Identifier
1295735702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47063736303 | Medicaid | NE | |
| 06753 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47063736302 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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 100
- Quality
- 21.67
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon a. Blair, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C. | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | Accepting new patients |
| Unity Eye Centers Inc | Optometrist | Current | 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.
-
- Optometrist
- Columbus, NE
- NPI 1285284273
-
- Optometrist
- Seward, NE
- NPI 1508686049
-
- Ambulatory Surgical Clinic/Center
- Kearney, NE
- NPI 1518724814
-
- Optometrist
- Kearney, NE
- NPI 1952156879
-
- Optometrist
- Grand Island, NE
- NPI 1982254207
-
- Optometrist
- Loup City, NE
- NPI 1396813200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.