DR. BRYAN BLARE (O.D.) – Optometrist, NPI 1063409548

DR. BRYAN BLARE (O.D.) is a healthcare provider. based in Chandler, Arizona. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 712 (AZ). The NPI Number for DR. BRYAN BLARE (O.D.) is 1063409548

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN BLARE (O.D.)
NPI
1063409548
Phone
(480) 961-1865
Address
220 N MCKEMY AVE
Enumeration Date
30 September 2005
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6028403501
Graduation Year
1986 (40 years ago)
PAC ID
0749178895
Group Practice PAC ID
4183600810
Professional Enrollment ID
I20040309001106
Address ID
AZ850163427PH2222XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

847 OPTOMETRY in AZ

Provider Addresses for DR. BRYAN BLARE (O.D.)

  • 220, North McKemy Avenue, Prado del Sol, Chandler, Maricopa County, Arizona, 85226, United States

    CHANDLER, AZ 852262654

    Phone: (480) 961-1865

    Fax: (480) 961-4605

    Type: Mailing

  • 2222 E Camelback Rd Ste 250

    Phoenix, AZ 850163427

    Phone: (602) 840-3501

    Type: Location

  • 2450 E Guadalupe Rd Ste 107

    Gilbert, AZ 852345116

    Phone: (480) 558-0600

    Type: Location

  • 955 W SOUTHERN AVE STE 122

    MESA, AZ 852104903

    Phone: (480) 835-4440

    Fax: (480) 835-8882

    Type: Location

  • PO BOX 31001-3246

    PASADENA, CA 911100001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $1,170.

Total Amount is formed as General ($1,170) + Research ($0) + Ownership ($0) = $1,170.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Harrow Eye, LLC ($256).

Total Amount

$1,170

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040309001106IOptometryAZTBD
I20250430001525IOptometryNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes142129$0
99213Established patient office or other outpatient visit, 20-29 minutes8448$0
92134Imaging of retina7771$0
92133Imaging of optic nerve3230$0
68761Closure of tear duct opening using plug2815$0
View full utilization report →

Insurance plans in this area (ZIP 85226)

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Provider's Procedures

DR. BRYAN BLARE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAZ92134Diagnostic imaging of retina10993

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183600810View full group profile
NameSpecialtyState
O P T O M E T R YAZ
O P T O M E T R YAZ
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YAZ
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P T O M E T R YFL
-FL

Reviews

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Frequently asked questions

What NPI should I save for DR. BRYAN BLARE (O.D.)?
Save NPI 1063409548 if you need a stable reference for DR. BRYAN BLARE (O.D.).
Is DR. BRYAN BLARE (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. BRYAN BLARE (O.D.)?
The page reflects Optometrist for DR. BRYAN BLARE (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRYAN BLARE (O.D.)?
The snapshot lists Chandler, Arizona for DR. BRYAN BLARE (O.D.); download NPPES for the complete set.
How can I contact DR. BRYAN BLARE (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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