Individual provider · Type 1 NPI

Marcia Ellen Blake, OD

Optometrist · Chicago, IL

NPI number 1053490219 Active

Practice location

1903 W 103rd St
Chicago, IL 60643-2624

Mailing address

10225 S Oakley Ave
Chicago, IL 60643-1915

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X046-006808 (IL)
Optometrist 152W00000X1664 (MN)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1053490219

Marcia Ellen Blake, OD's National Provider Identifier is 1053490219, issued on Nov 6, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.