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DR. BRYAN BLARE O.D.
NPI 1063409548
Optometrist in Mesa, AZ

Active since September 30, 2005PECOS Enrolled
955 W SOUTHERN AVE STE 122, MESA, AZ 85210(480) 835-4440(480) 835-8882 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2024, Oct 1, 2018 (2 updates tracked since 2018).

About Dr. Bryan Blare O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN BLARE O.D. (NPI 1063409548) is an individual optometrist in Mesa, Arizona, licensed in Arizona (712) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063409548
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRYAN BLARECredential: O.D.
Location Address955 W SOUTHERN AVE STE 122Mesa, AZ 85210-4903
Mailing AddressPo Box 31001-3246Pasadena, CA 91110-0001
Phone(480) 835-4440
Fax(480) 835-8882
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1063409548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 712
Definition
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.
955 W SOUTHERN AVE STE 122, Mesa, AZ 85210
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Secondary Practice Locations 2

Location 12450 E Guadalupe Rd Ste 107Gilbert, AZ 85234-5116 · Phone (480) 558-0600
Location 22222 E Camelback Rd Ste 250Phoenix, AZ 85016-3427 · Phone (602) 840-3501

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan Blare O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bryan Blare reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family First Vision Care Arizona PLLC
20 mi
Optometrist
21001 N TATUM BLVD STE 18
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1710417514 (480) 513-4184
Emilio Martin Justo MD PC
30 mi
Ophthalmology
10701 W BELL RD
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 16 clinicians in this Medicare group
NPI 1801902762 (623) 876-2020
Visionworks, Inc.
323 mi
Optometrist
4910 CUTLER AVE NE STE B, N.E.
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 18 clinicians in this Medicare group
NPI 1801960620 (505) 888-2480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
101 services97 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
65 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services23 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
35 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONWIDE OPTOMETRY P.C.
Optometrist
955 W SOUTHERN AVE STE 122
MESA, AZ 85210
Maricopa County (480) 835-4440
DR. ALEX WILLIAM COHEN M.D.
Ophthalmology
955 W SOUTHERN AVE STE 122
MESA, AZ 85210
Maricopa County (480) 835-4440
LUCY MA MD
Ophthalmology
955 W SOUTHERN AVE STE 122
MESA, AZ 85210
Maricopa County (480) 835-8882
DR. KIMBERLY LAURA CUNNINGHAM O.D.
Optometrist
955 W SOUTHERN AVE STE 122
MESA, AZ 85210
Maricopa County (480) 835-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Blare's NPI number?

The NPI number for Bryan Blare is 1063409548. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Bryan Blare located?

Bryan Blare practices at 955 W Southern Ave Ste 122, Mesa, AZ 85210. The listed phone number is (480) 835-4440.

What is Bryan Blare's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bryan Blare enrolled in Medicare?

Yes. Bryan Blare is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bryan Blare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Blare reassigns Medicare benefits to 3 organizations: Family First Vision Care Arizona PLLC (Phoenix, AZ), Emilio Martin Justo MD PC (Sun City, AZ) and Visionworks, Inc. (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Blare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Blare accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 8 other insurers list Bryan Blare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Blare was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.