National Provider Identifier Database

MICHAEL G BLAKE, OD – NPI #1831161264
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

MICHAEL G BLAKE, OD
124 W COAL AVE
GALLUP, NM87301-6206
Phone: 505-722-2020
Fax: 505-863-2204
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Low Vision Rehabilitation 152WL0500X
Occupational Vision 152WX0102X
Sports Vision 152WS0006X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for MICHAEL G BLAKE

NPI Number 1831161264
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/01/2006
Last updated 12/11/2008 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 2241
  • NM Other: NM00O520 BLUE CROSS BLUE SHIELD NM
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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