IndividualActive
Susan Blake, OD
NPI 1811963705 · Optometrist · Massillon, OH
Provider details
- NPI number
- 1811963705
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 5196 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2216 Lincoln Way E
Massillon, OH 44646-7062
Phone: (330) 832-9966
Fax: (330) 832-6007
Approximate (ZIP-level) locationGet directions
Mailing address
313 Linwood Ave Nw
Canton, OH 44708-5624
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2011-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.