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Contact Information

MICHAEL G BLAKE AND ASSOCIATES INC.
124 W COAL AVE
GALLUP, NM87301-6206
 Phone: 505-722-2020
 Fax: 505-863-2204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL G BLAKE AND ASSOCIATES INC.

NPI # 1912142241
LBN Legal business name MICHAEL G BLAKE AND ASSOCIATES INC.
Authorized official MICHAEL BLAKE - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2008
Last updated 12/16/2008 - About 17 years ago
Identifiers
NM Other NM00O520 BLUE CROSS BLUE SHIELD NM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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