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

Dr. Michael G Blake, OD

Individual provider Optometrist · NPI 1831161264

Dr. Michael G Blake, OD is an Optometrist in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
Specialties on file
6
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2241 (NM)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2241 (NM)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 2241 (NM)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 2241 (NM)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 2241 (NM)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence 2241 (NM)

Record details

NPI number1831161264
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESDecember 11, 2008
Mailing address124 W Coal Ave, Gallup, NM 87301-6206

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