Dr Michael G Blake, OD - Optometrist in Gallup, NM

Dr Michael G Blake, OD is a Optometrist based in Gallup, New Mexico. Dr Michael G Blake is licensed to practice in New Mexico (license number 2241) and his current practice location is 124 W Coal Ave, Gallup, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 722-2020.

NPI number for Dr Michael G Blake is 1831161264 and his current mailing address is 124 W Coal Ave, Gallup, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831161264.

Contact Information

Dr Michael G Blake, OD
124 W Coal Ave,
Gallup, NM 87301-6206
(505) 722-2020
(505) 863-2204

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael G Blake
GenderMale
SpecialityOptometrist
Location124 W Coal Ave, Gallup, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831161264
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 12/11/2008

Medical Identifiers

Medical identifiers for Dr Michael G Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831161264NPI-NPPES
NM00O520OtherNMBLUE CROSS BLUE SHIELD NM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2241 (New Mexico)Primary
152WC0802XOptometrist - Corneal And Contact Management 2241 (New Mexico)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation 2241 (New Mexico)Secondary
152WS0006XOptometrist - Sports Vision 2241 (New Mexico)Secondary
152WV0400XOptometrist - Vision Therapy 2241 (New Mexico)Secondary
152WX0102XOptometrist - Occupational Vision 2241 (New Mexico)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael G Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael G Blake, OD
124 W Coal Ave,
Gallup, NM 87301-6206

Ph: (505) 722-2020
Dr Michael G Blake, OD
124 W Coal Ave,
Gallup, NM 87301-6206

Ph: (505) 722-2020

Reviews and Comments


Optometrist in Gallup, NM

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Eye Associates Of New Mexico
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Phone: 505-722-2268    Fax: 505-863-2874
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Medicare: Medicare Enrolled
Practice Location: 816 Boardman Dr, Gallup, NM 87301
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Dr. Walter Ernest Balfour, O.D.
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Practice Location: 219 W Coal Ave, Gallup, NM 87301
Phone: 505-863-6448    Fax: 505-722-6491
Jesse Allen Hogan, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1326    
Dr. Jacqueline Agnes Grimm, OD
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Medicare: Accepting Medicare Assignments
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.