National Provider Identifier Database

SUSAN F BLAKE, OD – NPI #1811963705
Optometrist

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.


Contact Information

SUSAN F BLAKE, OD
2216 LINCOLN WAY E
MASSILLON, OH44646-7062
Phone: 330-832-9966
Fax: 330-832-6007
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for SUSAN F BLAKE

NPI Number 1811963705
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/28/2006
Last updated 08/02/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 5196
  • OH Medicaid: 2601081
  • OH Other: 51108 DAVIS VISION
  • OH Other: OH5196 EYEMED
  • OH Other: 22683 NVA
  • OH Other: 311529091 PCM
  • OH Other: 27426 SPECTERA
  • OH Other: 202699359 TRICARE
  • OH Other: 311529091 UNITED HEALTH CARE
  • OH Other: OH00213 VBA
  • OH Other: 202699359 VSP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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