Graham Aron Balcer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3178ATI Issued in OR

Practice address

51530 Huntington Rd
Suite #1
La Pine, OR 97739-7507

Phone

(541) 536-2911

Fax

(541) 536-2913

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graham a Balcer, OD, PCGroup PAC ID 6800947987, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Graham a Balcer, OD, PC

  • Optometrist
  • La Pine, OR
  • NPI 1881828135
  Medicare reassignment Care Compare group Authorized official
• Total Vision, Inc.

  • Optician
  • La Pine, OR
  • NPI 1104943521
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1851310528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3120",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393120",
            "telephone_number": "541-536-2911",
            "fax_number": "541-536-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51530 HUNTINGTON RD",
            "address_2": "SUITE #1",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977397507",
            "telephone_number": "541-536-2911",
            "fax_number": "541-536-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCER",
        "first_name": "GRAHAM",
        "middle_name": "ARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3178ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274547",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Leslie Anderson, PHARMD, RPH
• Steven Arrasmith, LMT
• Stacy Ash
• Sean Barel, LCSW
• Bearheart Therapy LLC
• Justina Rose Becker, DPT
• Bend Vision Clinic LLC
• Preeti Harshad Bhuva, PHARM D

• Optometrist in La Pine, OR
• Providers in La Pine, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.