Provider Type Icon

DR. TERRY BRUCE BLAIR OD NPI 1063402063


NPI Information

NPI: 1063402063
Provider Name: DR. TERRY BRUCE BLAIR, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3800 N MESA
STE C8
EL PASO, TX
ZIP 79902
Phone: (915) 533-1811
Get Directions

DR. Terry Bruce Blair, OD is an optometrist in El Paso, TX. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Terry Bruce Blair, OD NPI is 1063402063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3800 N MESA
STE C8
EL PASO, TX
ZIP 79902
Phone: (915) 533-1811
Fax: (915) 533-3641

The NPI 1063402063 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/21/2005 and was last updated on 10/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2777T6TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18A5372MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2P00078885MEDICARE ID-TYPE UNSPECIFIEDRAILROAD
3117935OTHEREYEMED VISION
4143566OTHERCOLE VISION
5P0902MEDICAIDNEW MEXICO
680783QOTHERTEXASBLUE CROSS BLUE SHIELD
7908516OTHERBLOCK VISION
8T12234MEDICARE UPIN
94722920001MEDICARE ID-TYPE UNSPECIFIEDPALMETTO DEMRC
10112454704MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.