Organization Active NPI

Dorsey C. Blair O.D.,PLLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1750649174
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02413TG Issued in TX
Legal business name
DORSEY C. BLAIR O.D.,PLLC
Practice address
830 S Mason Rd
Suitea-2
Katy, TX 77450-3896
Phone
(281) 392-9020
Fax
(281) 392-2662
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Dorsey C. Blair, O.D.NPI 1962577247
Title
Owner
Phone
(281) 392-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02413TG TX Primary

Addresses

Primary practice location

830 S Mason Rd
Suitea-2
Katy, TX 77450-3896

Mailing address

830 S Mason Rd
Suitea-2
Katy, TX 77450-3896
Phone (281) 392-9020

Other identifiers 1

IdentifierTypeStateIssuer
1962577247OtherTXPTAN00E26B

National Provider Directory

National Provider Directory
Tax ID family
Dorsey C Blair Odpllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

830 S Mason Rd
#2
Katy, TX 77450
Phone (281) 392-9020

Practitioners & affiliated clinicians

Practitioners 1

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1750649174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S MASON RD",
            "address_2": "SUITEA-2",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503896",
            "telephone_number": "281-392-9020",
            "fax_number": "281-392-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MASON RD",
            "address_2": "SUITEA-2",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503896",
            "telephone_number": "281-392-9020",
            "fax_number": "281-392-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSEY C. BLAIR O.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DORSEY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-392-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02413TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN00E26B",
            "identifier": "1962577247",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.