Michael G Blake is a Vision Therapy in Gallup, New Mexico. Michael G Blake practices all healthcare services and medical treatments related to Vision Therapy. 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 | Vision Therapy |
|---|---|
| Taxonomy | 152Wv0400X |
| Licence No | 2241 |
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Definition: Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM00O520 | NM | BLUE CROSS BLUE SHIELD NM |
Post Comment/ Review Below
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 Vision Therapy, and the taxonomy code that classifies this field of practice is 152Wv0400X.
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.