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Search › Wisconsin › Optometrist

Blake Church, OD

NPI 1104717024 · on the registry since 2025

Practice

Address
16800 W Cleveland Ave
New Berlin, WI 53151
Phone
(414) 313-7121
Organisation at this address
Eye Boutique, Llc
Wisconsin Vision, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-03

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 Wisconsin