Individual provider · Type 1 NPI

Blake Church, OD

Optometrist · New Berlin, WI

NPI number 1104717024 Active

Practice location

16800 W Cleveland Ave
New Berlin, WI 53151-3533

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X4089-35 (WI)

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 1104717024

Blake Church, OD's National Provider Identifier is 1104717024, issued on Jul 9, 2025. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in New Berlin, WI. The record was last updated on Aug 3, 2025.