Provider Profile

Blake Church, OD

Unclaimed Profile

About Dr. Church

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Education & Training

Medical School Other Graduated: 2024

Specialty

Optometrist (Primary)

Credentials & Licensing

WI license4089-35
NPI1104717024
NPI issued07/09/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Church's specialty?

Dr. Church is an optometrist in New Berlin, WI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Dr. Church?

Dr. Church is listed at 16800 W Cleveland Ave, New Berlin, WI 53151. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Church?

The number on file is (414) 313-7121. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Church's NPI number?

Dr. Church's National Provider Identifier is 1104717024. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Church's medical education?

Dr. Church attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Church been practicing?

Dr. Church has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Church confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Church. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.