NPIMap

Organization Active NPI

Brandon Blaker O D P C

Doing business as Hill Country Vision Center

  • Eyewear Supplier
  • Fredericksburg, TX
National Provider Identifier
1912046723
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TX6429TG Issued in TX
Legal business name
BRANDON BLAKER O D P C
Doing business as
Hill Country Vision Center
Practice address
508 S Adams St
Fredericksburg, TX 78624-4437
Phone
(830) 997-2504
Fax
(830) 997-5155
NPI assigned
Feb 6, 2007
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Brandon J Blaker, O.D.NPI 1093894230
Title
President
Phone
(830) 997-2504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TX6429TG TX Primary

Addresses

Primary practice location

508 S Adams St
Fredericksburg, TX 78624-4437

Mailing address

205 B West Water St
Kerrville, TX 78028
Phone (830) 896-4044

Other identifiers 1

IdentifierTypeStateIssuer
1952441503MedicaidTX

Other names 1

  • HILL COUNTRY VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1912046723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 B WEST WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-896-4044",
            "fax_number": "830-257-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244437",
            "telephone_number": "830-997-2504",
            "fax_number": "830-997-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON BLAKER O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-997-2504",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "TX6429TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952441503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILL COUNTRY VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.