OrganizationActive
Michael G Blake and Associates Inc.
NPI 1912142241 · Optometrist · Gallup, NM
Provider details
- NPI number
- 1912142241
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Blake, Optometrist(505) 722-2020
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
124 West Coal Ave
Gallup, NM 87301
Other names (DBA / former)
- Other name
- Gallup Vision Source
Registry dates
- Enumerated
- 2008-12-16
- Last updated
- 2008-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.