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Michael Blake, O.D.

NPI 1831161264 · Optometrist · Gallup, NM

Provider details

NPI number: 1831161264
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 2241 (NM)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2241 (NM)
Eye and Vision Services Providers
Corneal and Contact Management Optometrist152WC0802XLicense 2241 (NM)
Eye and Vision Services Providers
Low Vision Rehabilitation Optometrist152WL0500XLicense 2241 (NM)
Eye and Vision Services Providers
Sports Vision Optometrist152WS0006XLicense 2241 (NM)
Eye and Vision Services Providers
Vision Therapy Optometrist152WV0400XLicense 2241 (NM)
Eye and Vision Services Providers
Occupational Vision Optometrist152WX0102XLicense 2241 (NM)

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

124 W Coal Ave

Gallup, NM 87301-6206

Phone: (505) 722-2020

Fax: (505) 863-2204

Street-level locationGet directions

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Mailing address