Dr. Michael G Blake is a Gallup, New Mexico based male Optometrist who is specialized in Optometry. Active license number of Dr. Michael G Blake is 2241 for Optometry in New Mexico. Dr. Michael G Blake 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Michael G Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
124 W Coal Ave, Gallup, New Mexico, 87301-6206
Phone:
505-722-2020
Fax:
505-863-2204
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1831161264
NPI Enumeration Date:
01 Feb, 2006
NPI Last Update On:
11 Dec, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael G Blake are as mentioned below.
License Number
Specialization
State
Status
2241
Optometry
New Mexico
Primary
2241
Optometry - Corneal and Contact Management
New Mexico
Secondary
2241
Optometry - Low Vision Rehabilitation
New Mexico
Secondary
2241
Optometry - Sports Vision
New Mexico
Secondary
2241
Optometry - Vision Therapy
New Mexico
Secondary
2241
Optometry - Occupational Vision
New Mexico
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael G Blake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NM00O520
Other
New Mexico
BLUE CROSS BLUE SHIELD NM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
124 W Coal Ave, Gallup, New Mexico
Zip:
87301-6206
Phone Number:
505-722-2020
Fax Number:
505-863-2204
Patients can reach Dr. Michael G Blake at 124 W Coal Ave, Gallup, New Mexico or can call to book an appointment on 505-722-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.