1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Optometrist
  6. NPI Profile

MARCIA ELLEN BLAKE O.D.
NPI 1053490219
Optometrist in Chicago, IL

Active since November 06, 2006
1903 W 103RD ST, CHICAGO, IL 60643(773) 233-7799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marcia Ellen Blake O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIA ELLEN BLAKE O.D. (NPI 1053490219) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046-006808) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053490219
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARCIA ELLEN BLAKECredential: O.D.
Location Address1903 W 103RD STChicago, IL 60643-2624
Mailing Address10225 S Oakley AveChicago, IL 60643-1915 · (773) 233-3892
Phone(773) 233-7799
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053490219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IL · 046-006808✔ Licensed in MN · 1664
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1903 W 103RD ST, Chicago, IL 60643
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT38998IL
Medicare ID-Type Unspecified779475IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCIA E. BLAKE, O.D.
Optometrist
1903 W 103RD ST
CHICAGO, IL 60643
Cook County (773) 233-7799
ROSIN OPTICAL CO. INC.
Optometrist
1903 W 103RD ST
CHICAGO, IL 60643
Cook County (773) 233-7799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcia Blake's NPI number?

The NPI number for Marcia Blake is 1053490219. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Marcia Blake located?

Marcia Blake practices at 1903 W 103rd St, Chicago, IL 60643. The listed phone number is (773) 233-7799.

What is Marcia Blake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Marcia Blake was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.