Shelly Blaker OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHELLY BLAKER OD PC

Doing business as

Hill Country Vision Center

Practice address

1620 Avenue M
Hondo, TX 78861-1733

Phone

(830) 741-2634

Fax

(830) 426-4495

NPI assigned

Aug 2, 2018

Last updated

Aug 2, 2018By 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

Shelly Blaker, OD

Title

Owner

Phone

(830) 896-2600

Specialties & licenses 1

Addresses

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": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1568940435",
    "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",
            "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": "788611733",
            "telephone_number": "830-741-2634",
            "fax_number": "830-426-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY BLAKER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-896-2600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Spencer Rowland, M.D.
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• Tanya Marie Seay, SLP
• Shelly Blaker OD PC (Hill Country Vision Center)
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• Matthew Smith
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• Texas Emergency Room Services, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.