Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Blake Church, OD
Optometrist in New Berlin, WI · enumerated 2025.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104717024
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Registry record
Entity type Individual (Type 1)
Name Blake Church
Credential OD
Sex Male
Practice address 16800 W Cleveland Ave, New Berlin, WI, 53151
Phone (414) 313-7121
Enumeration date Jul 9, 2025
Last updated in NPPES Aug 3, 2025
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Blake Church?
The National Provider Identifier (NPI) for Blake Church is 1104717024, a Type 1 (individual) record in the CMS NPPES registry.
Where does Blake Church practice?
The practice location on file with NPPES is in New Berlin, WI. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-03.