Michael G Blake in Gallup - Corneal And Contact Management

Michael G Blake - NPI 1831161264

Michael G Blake is a Corneal And Contact Management in Gallup, New Mexico. Michael G Blake practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Michael G Blake is 1831161264. The last update date is 2008-12-11.

Michael G Blake's current location address is 124 W Coal Ave, Gallup, New Mexico. You can contact this provider via phone number 5057222020 and fax number 5058632204. The mailing address for Michael G Blake is 124 W Coal Ave, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael G Blake
Address 124 W Coal Ave, Gallup, New Mexico
Phone Number 5057222020
Fax Number 5058632204
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1831161264
Provider Enumeration Date 2006-02-01
Last Updated Date 2008-12-11

Provider Mailing Address Detail

Address 124 W Coal Ave
City Gallup
State New Mexico (NM)
Post Code 873016206
Phone Number 5057222020
Fax Number 5058632204

Provider's Primary Taxonomy Detail

Speciality Corneal And Contact Management
Taxonomy 152Wc0802X
Licence No 2241
Definition:
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NM00O520 NM BLUE CROSS BLUE SHIELD NM

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FAQs about Michael G Blake

What is the unique 10-digit identifier code issued to Michael G Blake by the Centers for Medicare & Medicaid Services?

The Michael G Blake has been assigned the NPI (National Provider Identifier) 1831161264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Michael G Blake?

The Michael G Blake is physically situated at 124 W Coal Ave, in the city of Gallup, state of NM, with the postal code 873016206.

What is Michael G Blake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael G Blake is Corneal And Contact Management, and the taxonomy code that classifies this field of practice is 152Wc0802X.

On what date did the Michael G Blake receive the assignment of its 1831161264 from the Centers for Medicare & Medicaid Services?

The Michael G Blake was issued its 1831161264 by the Centers for Medicare & Medicaid Services on 2006-02-01.

When was the information related to Michael G Blake most recently updated or refreshed?

The details pertaining to the Michael G Blake, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-11.

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