DR. SHELLY BLAKER O.D. NPI 1487726568

NPI Information

  • NPI: 1487726568
  • Provider Name: DR. SHELLY BLAKER, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 508 S. ADAMS
    FREDERICKSBURG, TX
    ZIP 78624
  • Phone: (830) 997-2504

Map and Directions

Get Directions

NPI Details

DR. Shelly Blaker, O.D. is an optometrist in Fredericksburg, TX with 22 years of experience. 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. Shelly Blaker, O.D. NPI is 1487726568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year:2004

The provider's business location address is:

508 S. ADAMS
FREDERICKSBURG, TX
ZIP 78624-472
Phone: (830) 997-2504
Fax: (830) 997-5155

The NPI 1487726568 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Photography of the retina (HCPCS:92250)
  • Exam of visual field with limited testing (HCPCS:92081)

The enumeration date for this NPI number is 11/14/2006 and was last updated on 4/11/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist6569TGTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18C6437MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2P00088457MEDICARE ID-TYPE UNSPECIFIEDTEXASRAILROAD MEDICARE
3V0I757MEDICARE UPINTEXAS
4170488401MEDICAIDTEXAS
581131QOTHERTEXASBCBS OF TEXAS

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: 11/21/2025

NPI Synchronization or Removal

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.