Individual provider Active NPI

George Elden Blair, OD

  • Optometrist
  • Snowflake, AZ
National Provider Identifier
1952376899
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
858 Issued in AZ
Practice address
932 S Main St Ste 201
Snowflake, AZ 85937-5555
Phone
(928) 536-4000
Fax
(928) 536-5287
NPI assigned
Feb 22, 2006
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 858 AZ Primary

Addresses

Primary practice location

932 S Main St Ste 201
Snowflake, AZ 85937-5555

Mailing address

932 S Main St Ste 201
Snowflake, AZ 85937-5555
Phone (928) 536-4000

Other identifiers 1

IdentifierTypeStateIssuer
20232MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040305001123 AZ Practitioner - Optometry 8527956168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

932 S Main St
Suite 201
Snowflake, AZ 85937-5555
Phone (928) 536-4000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
858AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD CurrentSince Jan 21, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jan 1, 2007 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Jan 21, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jan 1, 2007 Accepting new patients
White Mountain Eye Care Center PC Optometrist CurrentSince Feb 8, 1998 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

2963 W White Mountain Blvd
Lakeside, AZ 85929
Phone (928) 242-0247

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

1951 S White Mountain Rd
Ste 1001
Show Low, AZ 85901
Phone (928) 537-2010

932 S Main St
Ste 201
Snowflake, AZ 85937
Phone (520) 537-2414

10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: gelden.blair@direct.avp.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1952376899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S MAIN ST STE 201",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375555",
            "telephone_number": "928-536-4000",
            "fax_number": "928-536-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S MAIN ST STE 201",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375555",
            "telephone_number": "928-536-4000",
            "fax_number": "928-536-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "GEORGE",
        "middle_name": "ELDEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20232",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

Verify at the official NPI Registry.