Brandon Blaker O D P C

NPI #1952441503 in Kerrville, Texas

Provider Information

NPI Number: 1952441503
Entity Type: Organization
Organization Name: Brandon Blaker O D P C
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 6, 2007
Last Updated: Feb 4, 2016

Practice Location

Address: 205B W WATER ST
City: Kerrville
State: Texas
ZIP Code: 78028
Phone: (830) 896-4044

Authorized Official

Name: BRANDON J BLAKER, OPTOMETRIST
Title: OWNER
Phone: (830) 896-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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