Brandon Blaker O D P C

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRANDON BLAKER O D P C

Doing business as

Hill Country Vision Center

Practice address

205B W Water St
Kerrville, TX 78028-4252

Phone

(830) 896-2600

NPI assigned

Dec 8, 2006

Last updated

Oct 8, 2014By 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. Brandon Blaker, O.D.

Title

President

Phone

(830) 896-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hill Country Vision Center Doing business as

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1316006091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205B W WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284252",
            "telephone_number": "830-896-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205B W WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284252",
            "telephone_number": "830-896-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON BLAKER O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-896-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86FC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162788701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jinkins Bone, DDS
• Michael R. Borchers, D.D.S.
• Patrick Alan Boyle, CTRS
• Nicovia Bradley
• Adam Branch, APRN, FNP-C
• Brandon Blaker O D P C (Hill Country Vision Center)
• Brandon Blaker O D P C (Hill Country Vision Center)
• Deanna Elaine Brandt
• Bret Ford Eye Care PC (Ford Eye Care Center)
• Elizabeth Brew, OTA

• Optometrist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.