Brandon Blaker O D P C

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TX6429TG Issued in TX

Legal business name

BRANDON BLAKER O D P C

Doing business as

Hill Country Vision Center

Practice address

1620 Avenue M
Hondo, TX 78861-1756

Phone

(830) 741-2634

Fax

(830) 257-6419

NPI assigned

Feb 6, 2007

Last updated

Jul 28, 2016By 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

Brandon J Blaker, O.D.NPI 1093894230

Title

President

Phone

(830) 741-2634

Specialties & licenses 1

Addresses

Other names 1

• HILL COUNTRY VISION CENTER Doing business as

Locations

Practitioners 1

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.

• Brandon Blaker, O.D.

  • Optometrist
  • Kerrville, TX
  • NPI 1093894230
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1396884979",
    "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": "78028",
            "telephone_number": "830-896-4044",
            "fax_number": "830-257-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 AVENUE M",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788611756",
            "telephone_number": "830-741-2634",
            "fax_number": "830-257-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON BLAKER O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-741-2634",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "TX6429TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILL COUNTRY VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chastity Mercedes Barrios
• Erin Ashley Beck, COTA
• Benjamin McCollum MD PLLC
• Guillermo Betancourt Martinez, DDS
• Jillian Blum, OTR
• Brenda Burell
• Billy Pat Butler, RPH
• Niko Ryan Caballes, PHARMD
• Cancer Care Network of South Texas PA
• Mindi Ray Carroll, PTA

• Eyewear Supplier in Hondo, TX
• Providers in Hondo, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.