MICHAEL G BLAKE O.D.
NPI 1831161264
Optometrist in Gallup,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 1, 2006

Contact Information

124 W Coal Ave
Gallup,
Post Code: 87301
Phone: (505) 722-2020
Fax: (505) 863-2204

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Michael G Blake O.d. in Gallup - Optometrist

Michael G Blake O.d. is a Optometrist in Gallup, . Michael G Blake O.d. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael G Blake O.d. is 1831161264. The last update date is 2008-12-11.

Michael G Blake O.d.'s current location address is 124 W Coal Ave, Gallup, . You can contact this provider via phone number (505) 722-2020 and fax number (505) 863-2204. The mailing address for Michael G Blake O.d. is 124 W Coal Ave, Gallup, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1831161264
Provider Name
MICHAEL G BLAKE O.D.
Gender
Male
Entity Type
Individual
Location Address
124 W Coal Ave, Gallup,
Location Phone
(505) 722-2020
Location Fax
(505) 863-2204
Mailing Address
124 W Coal Ave, Gallup, New Mexico(NM)
Mailing Phone
505-722-2020
Mailing Fax
505-863-2204
Enumeration Date
2006-02-01
Last Update Date
2008-12-11
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
-
License No.
2241
License State
New Mexico (NM)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 152WC0802X Corneal and Contact Management Optometrist

Optometrist, Corneal and Contact Management

2241 (New Mexico)
2 152WL0500X Low Vision Rehabilitation Optometrist

Optometrist, Low Vision Rehabilitation

2241 (New Mexico)
3 152WS0006X Sports Vision Optometrist

Optometrist, Sports Vision

2241 (New Mexico)
4 152WV0400X Vision Therapy Optometrist

Optometrist, Vision Therapy

2241 (New Mexico)
5 152WX0102X Occupational Vision Optometrist

Optometrist, Occupational Vision

2241 (New Mexico)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NM00O520 Other (non-Medicare) (01) New Mexico (NM) Blue Cross Blue Shield NM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831161264
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861262212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2861262212
2 + 8 + 6 + 1 + 2 + 6 + 2 + 2 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1831161264 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

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The following 5 providers are registered at the same or nearby location.

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505-345-9299
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Individual
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