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MARCIA E. BLAKE, O.D.
NPI 1205253200
Optometrist in Chicago, IL

Active since March 27, 2014
1903 W 103RD ST, CHICAGO, IL 60643(773) 233-7799(773) 233-6362 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marcia E. Blake, O.d. NPPES

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

MARCIA E. BLAKE, O.D. (NPI 1205253200) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since March 2014. The organization lists Marcia E. Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1205253200
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMARCIA E. BLAKE, O.D.
Location Address1903 W 103RD STChicago, IL 60643-2624
Mailing Address1903 W 103rd StChicago, IL 60643-2624 · (773) 233-7799 · Fax (773) 233-6362
Phone(773) 233-7799
Fax(773) 233-6362
Organization SubpartNo
Authorized OfficialMarcia E. BlakeOwner · (773) 233-7799
Enumeration DateMarch 27, 2014
✔ NPI 1205253200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046-006808
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
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Other Identifiers 1

Medicare UPINT39889IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ELLEN 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 E. Blake, O.D.'s NPI number?

The NPI number for Marcia E. Blake, O.D. is 1205253200. It was assigned to this organization in the NPPES registry on March 27, 2014.

Where is Marcia E. Blake, O.D. located?

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

What is Marcia E. Blake, O.D.'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 E. Blake, O.D. was last updated on March 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.