Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bryan Blare, OD

Individual provider Optometrist · NPI 1063409548

Dr. Bryan Blare, OD is an Optometry in Mesa, Arizona. Graduated from Pacific University - College of Optometry in 1986, 40 years ago. Practices with Emilio Martin Justo MD PC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
40
Trained at
Pacific University - College of Optometry
Licensed in
AZ
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

955 W Southern Ave Ste 122
Mesa, AZ 85210-4903
Phone: (480) 835-4440
Fax: (480) 835-8882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2450 E Guadalupe Rd Ste 107, Gilbert, AZ 85234-5116 — (480) 558-0600
  • 2222 E Camelback Rd Ste 250, Phoenix, AZ 85016-3427 — (602) 840-3501

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 712 (AZ)

Record details

NPI number1063409548
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing addressPo Box 31001-3246, Pasadena, CA 91110-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1986 (40 years in practice)
Group practice Emilio Martin Justo Md Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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