Organization
BRANDON A. BLAIR, O.D., P.C.
Active
Other names
Professional Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON A. BLAIR OD (OWNER)
(308) 728-3229
Entity
Organization
Contact information
Practice address
1511 M ST, ORD, NE 68862-1428
(308) 729-3229
(308) 728-5908
Mailing address
1511 M ST, ORD, NE 68862-1428
(308) 729-3229
(308) 728-5908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410026405
RAIL ROAD MEDICARE
NE
01
—
410044452
RAILROAD MEDICARE
NE
Enumeration date
11/30/2006
Last updated
02/28/2019
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