Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD GARY BLAKE, R.D.O.
Active Sole ProprietorMR. RICHARD GARY BLAKE, R.D.O. is a Optician, Dispensing healthcare provider located in WOODLAND HILLS, California. NPI 1174650071 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · WOODLAND HILLS, CA
Registration Details
- NPI Number
- 1174650071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.48297267497 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D006638 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21835 VENTURA BLVDWOODLAND HILLS, CA, 913641838Browse CA providers · Browse ZIP 91364
- Phone
- 8188839567
- Fax
- 8188835261
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.