Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael G Blake and Associates Inc

Organization Optometrist · NPI 1912142241

Michael G Blake and Associates Inc is an Optometrist in Gallup, New Mexico. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 W Coal Ave
Gallup, NM 87301-6206
Phone: (505) 722-2020
Fax: (505) 863-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1912142241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blake — Optometrist · (505) 722-2020
Other names Gallup Vision Source
NPI enumeratedDecember 16, 2008
Last updated in NPPESDecember 16, 2008
Mailing address124 West Coal Ave, Gallup, NM 87301

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