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CHARLES RICHARD BLAKE MD NPI 1386645224


NPI Profile

NPI: 1386645224
Provider Name: CHARLES RICHARD BLAKE, MD
Classification:Ophthalmology - 207W00000X
Entity Type: Individual
Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Get Directions

Phone: (352) 392-3451

Charles Richard Blake, MD is an ophthalmology in Gainesville, FL with 21 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Charles Richard Blake, MD NPI is 1386645224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-371
Phone: (352) 392-3451

The NPI 1386645224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 8/2/2005 and was last updated on 6/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology29828SOUTH CAROLINANo
2207W00000XOphthalmologyME90057FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17273542OTHERNORTH CAROLINAAETNA
2010129300MEDICAIDFLORIDA
3141A6OTHERNORTH CAROLINABCBS NC
432840OTHERNORTH CAROLINAOPTICARE
5806940OTHERNORTH CAROLINAPARTNERS
60800815OTHERNORTH CAROLINAMAMSI
75902230MEDICAIDNORTH CAROLINA
8GP4696MEDICAIDSOUTH CAROLINA
9806940OTHERNORTH CAROLINACOMMUNITY EYE CARE
100800815OTHERNORTH CAROLINAUNITED HEALTHCARE
11183075OTHERNORTH CAROLINAMEDCOST
12OPH174OTHERNORTH CAROLINAPRIMAHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.