OrganizationActive
Marcia E. Blake, O.D.
NPI 1205253200 · Optometrist · Chicago, IL
Provider details
- NPI number
- 1205253200
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Marcia Blake, Owner(773) 233-7799
- License
- 046-006808 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1903 W 103rd St
Chicago, IL 60643-2624
Phone: (773) 233-7799
Fax: (773) 233-6362
Street-level locationGet directions
Mailing address
1903 W 103rd St
Chicago, IL 60643-2624
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2014-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.