Marcia Blake, O.D

NPI 1053490219 · on the registry since 2006 · sole proprietor

Practice

Address: 1903 W 103rd St
Chicago, IL 60643
Phone: (773) 233-7799
Organisation at this address: Marcia E. Blake, O.D.
Rosin Optical Co. Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Optometrist
Licence states on file: IL, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois