Blake Elliot Golson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7598T Issued in TX

Practice address

2200 W Wadley Ave
22
Midland, TX 79705-6438

Phone

(432) 684-7287

Fax

(432) 684-7297

NPI assigned

Jul 28, 2010

Last updated

Jul 28, 2010By the provider in NPPES

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 TX

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

University of Houston - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permian Basin Eye Care Center LLCGroup PAC ID 7618152992, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Permian Basin Eye Care Center Inc

  dba Texas Country Eye Care

  • Optometrist
  • Midland, TX
  • NPI 1578879102
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1992019301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W WADLEY AVE",
            "address_2": "22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056438",
            "telephone_number": "432-684-7287",
            "fax_number": "432-684-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W WADLEY AVE",
            "address_2": "22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056438",
            "telephone_number": "432-684-7287",
            "fax_number": "432-684-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSON",
        "first_name": "BLAKE",
        "middle_name": "ELLIOT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7598T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Sleep Midland L.P. (Global Sleep)
• Danielle Nicole Goates, BCBA
• Racheal Renee Godoy, MSN, RN, FNP-C
• Golightley Chiropractic, PA
• Earl Jason Golightley, D.C.
• Jessica Nicole Gomez-Vargas
• Dorothy M Gomez, COTA
• Mekayla Katari Gomez, PTA
• Angelica Gonzales, PA-C
• Candida Gonzales, COTA

• Optometrist in Midland, TX
• Providers in Midland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.