Optometrist
Dr. MICHAEL BLAKE O.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831161264 · enumerated 2006-02-01 · record updated 2008-12-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 124 W COAL AVE, GALLUP, NM, 87301-6206 (505) 722-2020 Fax (505) 863-2204 Google Maps Apple Maps OpenStreetMap
- Practice location 124 W COAL AVE, GALLUP, NM, 87301-6206 (505) 722-2020 Fax (505) 863-2204 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License 2241 NM
- Optometrist, Corneal and Contact Management 152WC0802X · License 2241 NM
- Optometrist, Low Vision Rehabilitation 152WL0500X · License 2241 NM
- Optometrist, Sports Vision 152WS0006X · License 2241 NM
- Optometrist, Vision Therapy 152WV0400X · License 2241 NM
- Optometrist, Occupational Vision 152WX0102X · License 2241 NM
In this directory
Locations and evidence
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Practice location
GALLUP, NM, 873016206
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.