Bryce J Blue (NPI# 1548387590, PAC ID# 5294780656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1548387590 |
| PAC ID by PECOS | 5294780656 |
| Professional Enrollment ID | I20050317001055 |
| Full Name | Bryce J Blue |
| Organization Legal Name | B. JEFFREY BLUE, OD AND JASON CHANG, OD, INC. |
| Address |
1245 Broad St Sn Luis Obisp CA 93401-3907 |
| Phone Number | 8055420700 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8921053372 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1245 Broad St, Sn Luis Obisp, CA 93401-3907 | 8055420700 | B. JEFFREY BLUE, OD AND JASON CHANG, OD, INC. |
| Organization Legal Name | B. JEFFREY BLUE, OD AND JASON CHANG, OD, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Martin | Optometry | B. Jeffrey Blue, Od and Jason Chang, Od, Inc. | 1245 Broad St, Sn Luis Obisp, CA 93401-3907 |
| Jason D Chang | Optometry | B. Jeffrey Blue, Od and Jason Chang, Od, Inc. | 1245 Broad St, Sn Luis Obisp, CA 93401-3907 |
| Street Address |
1245 BROAD ST |
| City | SN LUIS OBISP |
| State | CA |
| Zip | 93401-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Martin | Optometry | B. Jeffrey Blue, Od and Jason Chang, Od, Inc. | 1245 Broad St, Sn Luis Obisp, CA 93401-3907 |
| Jason D Chang | Optometry | B. Jeffrey Blue, Od and Jason Chang, Od, Inc. | 1245 Broad St, Sn Luis Obisp, CA 93401-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Spalding | Obstetrics/gynecology | 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401 | |
| Nell Bennett | Clinical Social Worker | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Jeffrey Friedman | Psychologist, Clinical | 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707 | |
| Kourosh Bagheri | Internal Medicine | 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316 | |
| Donald A Ramberg | Neurosurgery | 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507 | |
| Phillip Kissel | Neurosurgery | 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507 | |
| Steven C Johnson | Ophthalmology | 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547 | |
| Laura A Lubarsky | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| David C Anderson | Physician Assistant | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, San Luis Obispo, CA 93401-2551 |
| Michael James Ryan | Pulmonary Disease | Central Coast Chest Consultants, A Medical Corporation | 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551 |
| Find all physicians in zip 93401 | |||
| City | SN LUIS OBISP |
| Zip Code | 93401 |
| Specialty | OPTOMETRY |
| City + Specialty | SN LUIS OBISP + OPTOMETRY |
Please comment or provide details below to improve the information on Bryce J Blue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.