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Contact Information

BRANDON BLAKER, OD
205-B WEST WATER ST.
KERRVILLE, TX78028
 Phone: 830-896-4044
 Fax: 830-257-6419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRANDON BLAKER · (Male)

NPI Number 1093894230
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 6429TG
  • TX Medicaid 160081902
  • TX Other 80598Q BCBS
  • TX Other 32624 CHIPS/COMMFIRST
  • TX Other 32648 CHIPS/STAR
  • TX Other TX6429 COLE
  • TX Other TX6429 EYEMED
  • TX Other P00121646 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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