Nicholas Blair, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2800 Issued in CO

Practice address

700 Main St
Canon City, CO 81212-3739

Phone

(719) 431-6434

Fax

(719) 431-6435

NPI assigned

Jul 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blair Vision Care, LLC

  • Optometrist
  • Canon City, CO
  • NPI 1134436728

  CO, Optometrist

  Medicare reassignment NPD Authorized official
• Blair Vision Care, LLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1396386843
  NPD Authorized official

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1871807321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123739",
            "telephone_number": "719-431-6434",
            "fax_number": "719-431-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123739",
            "telephone_number": "719-431-6434",
            "fax_number": "719-431-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3958 N Academy Blvd Ste 108-109",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175919",
            "country_code": "US",
            "telephone_number": "719-999-8404",
            "fax_number": "719-999-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Lorraine Bezona, LPC
• Kellie Bird
• Robert Marvin Bischoff, PTA
• Ginger L Bivens, RN
• Blair Vision Care, LLC
• Kristy Blood
• Dennis Bloomquist
• Roger D Bogich, BA
• David Bokel
• Lindsey Rae Bollinger, NP

• All providers in Canon City, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.