Blake Church
OD
Optometrist
About Blake Church
Blake Church, OD, is a male healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1104717024. Blake Church received his medical education at OTHER, graduating in 2024.
Their primary practice is located at 16800 W CLEVELAND AVE, New Berlin, Wisconsin 53151. Patients can reach the office at (414) 313-7121. Blake Church is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.
Blake Church has been NPI-registered since 2025.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1104717024
- Entity Type
- Individual
- First Name
- Blake
- Last Name
- Church
- Credential
- OD
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2024
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 16800 W CLEVELAND AVE
- City
- New Berlin
- State
- Wisconsin
- ZIP
- 53151-3533
- Country
- United States
- Phone
- (414) 313-7121
Specialty & Taxonomy
- Primary Specialty
- Optometrist
- Classification
- Optometrist
- Taxonomy Code
- 152W00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 16800 W CLEVELAND AVE
- City
- NEW BERLIN
- State
- WI
- ZIP
- 531513533
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Prescriber Information
- Authorized Prescriber
- Yes
Frequently Asked Questions
What is Blake Church's NPI number?
What does Blake Church specialize in?
Where is Blake Church located?
Does Blake Church accept Medicare?
Does Blake Church offer telehealth or virtual visits?
Can Blake Church prescribe medications?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Blake Church is 1104717024.