CONNOR BLAKE OD
NPI 1972142545
Optometrist in Chambersburg, PA

Q: What is Connor Blake's NPI number?

The NPI number for Connor Blake is 1972142545. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Q: What is Connor Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connor Blake was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 31, 2019PECOS Enrolled

494 GATEWAY AVE, CHAMBERSBURG, PA 17201(717) 263-6186(717) 263-6888 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2021, Oct 13, 2020, May 15, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Connor Blake Od NPPES

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

CONNOR BLAKE OD (NPI 1972142545) is an individual optometrist in Chambersburg, Pennsylvania, licensed in Pennsylvania (OEG003850) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1972142545

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameCONNOR BLAKECredential: OD

Location Address494 GATEWAY AVEChambersburg, PA 17201-7351

Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 233-6780

Phone(717) 263-6186

Fax(717) 263-6888

Sole ProprietorNo

Enumeration DateDecember 31, 2019

Last NPPES UpdateOctober 11, 20214 updates tracked since enumeration

NPPES CertifiedOctober 11, 2021

✔ NPI 1972142545 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 PA · OEG003850✔ Licensed in MD · TA2748

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.

494 GATEWAY AVE, Chambersburg, PA 17201

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Secondary Practice Location 1

Location 117301 Valley Mall RdHagerstown, MD 21740-6966 · Phone (301) 582-1771 · Fax (301) 582-4681

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Blake Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. CORY LYNN SEYLAR O.D.

Optometrist