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

Marcia Ellen Blake, OD

Individual provider Optometrist · NPI 1053490219

Marcia Ellen Blake, OD is an Optometrist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Minnesota.

Licensed in
IL, MN
In the registry since
2006
Specialties on file
2
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

1903 W 103rd St
Chicago, IL 60643-2624
Phone: (773) 233-7799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-006808 (IL)
Optometrist Taxonomy 152W00000X · Licence 1664 (MN)

Record details

NPI number1053490219
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address10225 S Oakley Ave, Chicago, IL 60643-1915

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