Michael G. Blake, O.D.
Optometrist · Gallup, NM
Practice location
124 W Coal AveGallup, NM 87301-6206
- Phone
- (505) 722-2020
- Fax
- (505) 863-2204
NPI record
- NPI
- 1831161264
- Entity type
- Individual (Type 1)
- Enumeration date
- February 1, 2006
- Last updated
- December 11, 2008
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
2241 | NM |
| Corneal and Contact Management Optometrist | 152WC0802X |
2241 | NM |
| Low Vision Rehabilitation Optometrist | 152WL0500X |
2241 | NM |
| Sports Vision Optometrist | 152WS0006X |
2241 | NM |
| Vision Therapy Optometrist | 152WV0400X |
2241 | NM |
| Occupational Vision Optometrist | 152WX0102X |
2241 | NM |
About Dr. Blake
Michael G. Blake, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 124 W Coal Ave, Gallup, NM 87301-6206. The NPI number 1831161264 was assigned on February 1, 2006 and the record was last updated on December 11, 2008.
Dr. Blake lists 6 licenses in the registry: #2241 (NM) for Optometrist; #2241 (NM) for Corneal and Contact Management Optometrist; #2241 (NM) for Low Vision Rehabilitation Optometrist; #2241 (NM) for Sports Vision Optometrist; #2241 (NM) for Vision Therapy Optometrist; #2241 (NM) for Occupational Vision Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael G. Blake, O.D.?
The NPI number is 1831161264.
What is the phone number of Dr. Blake?
The phone number listed for the practice location is (505) 722-2020.
Where is Dr. Blake located?
124 W Coal Ave, Gallup, NM 87301-6206.
What is the taxonomy code for Dr. Blake?
The primary taxonomy code is 152W00000X – Optometrist; 5 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Gallup
- Tayde Analy Contreras, OD516 E Nizhoni Blvd
- Gallup Eye Group LLC816 Boardman Dr
- Walter Ernest Balfour, O.D.219 W Coal Ave
- Ainsley Verkaik, OD516 E Nizhoni Blvd
- Alicia Thibodeaux, O.D.516 E Nizhoni Blvd
- Yolanda Li516 E Nizhoni Blvd
- Charles Wu, OD516 E Nizhoni Blvd
- Jason Thuc Wu, OD516 E Nizhoni Blvd
- Matthew David McGraw, OD816 Boardman Dr
- Quint Di Giacomo, O.D.112 W Hill Ave
- Kaydee McCray, OD516 E Nizhoni Blvd
- Kandyse Flanigan, OD516 E Nizhoni Blvd