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Organization

BRANDON BLAKER O D P C

Active
Other names
Hill Country Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON BLAKER O.D. (PRESIDENT)
(830) 896-2600
Entity
Organization

Contact information

Practice address
205B W WATER ST, KERRVILLE, TX 78028-4252
(830) 896-2600
Mailing address
205B W WATER ST, KERRVILLE, TX 78028-4252
(830) 896-2600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162788701
TX
01
86FC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/08/2006
Last updated
10/08/2014
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