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DR. MICHAEL G BLAKE O.D.
NPI 1831161264
Optometrist in Gallup, NM

Active since February 01, 2006
124 W COAL AVE, GALLUP, NM 87301(505) 722-2020(505) 863-2204 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael G Blake O.d. NPPES

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

DR. MICHAEL G BLAKE O.D. (NPI 1831161264) is an individual optometrist in Gallup, New Mexico, licensed in New Mexico (2241) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1831161264
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL G BLAKECredential: O.D.
Location Address124 W COAL AVEGallup, NM 87301-6206
Mailing Address124 W Coal AveGallup, NM 87301-6206 · (505) 722-2020 · Fax (505) 863-2204
Phone(505) 722-2020
Fax(505) 863-2204
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateDecember 11, 2008
✔ NPI 1831161264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NM · 2241
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2241 (NM)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2241 (NM)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 2241 (NM)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2241 (NM)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 2241 (NM)
124 W COAL AVE, Gallup, NM 87301
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Other Identifiers 3

Medicare UPINT74910NM
Medicare ID-Type Unspecified2506478NM
OtherNM00O520NM · Blue Cross Blue Shield Nm

Other Providers at the Same Location NPPES

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

MICHAEL G BLAKE AND ASSOCIATES INC.
Optometrist
124 W COAL AVE
GALLUP, NM 87301
McKinley County (505) 722-2020

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 Michael Blake's NPI number?

The NPI number for Michael Blake is 1831161264. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Michael Blake located?

Michael Blake practices at 124 W Coal Ave, Gallup, NM 87301. The listed phone number is (505) 722-2020.

What is Michael 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 Michael Blake was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.