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

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 and National Provider Directory roles.

• Permian Basin Eye Care Center Inc

  • 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.
• 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

• All providers in Midland, TX
• 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.