NPIMap

Organization Active NPI

Barry D. Blonder O.D., P.C.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1407017007
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ19 Issued in AZ
Legal business name
BARRY D. BLONDER O.D., P.C.
Practice address
6159 E Broadway Blvd
Tucson, AZ 85711-4028
Phone
(520) 790-2020
Fax
(520) 790-8328
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Jacque Blonder
Title
Corporate Secretary
Phone
(520) 790-7498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ19 AZ Primary

Addresses

Primary practice location

6159 E Broadway Blvd
Tucson, AZ 85711-4028

Mailing address

6163 E Broadway Blvd
Tucson, AZ 85711-4028
Phone (520) 790-7498

National Provider Directory

National Provider Directory

Locations

6163 E Broadway Blvd
Tucson, AZ 85711

7043 N Oracle Rd
Tucson, AZ 85704
Phone (520) 887-2040

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1407017007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114028",
            "telephone_number": "520-790-7498",
            "fax_number": "520-790-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6159 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114028",
            "telephone_number": "520-790-2020",
            "fax_number": "520-790-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D. BLONDER O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BLONDER",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "520-790-7498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.