Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659334068 Deactivated / Inactive NPI Male Practitioner

Dr. Robert F Blake , OD

Optometrist • Hamden, CT

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2006
NPI Deactivation Date June 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Blake, OD was a registered Optometrist practicing in Hamden, CT. Throughout an active medical career spanning 11 years, Dr. Blake provided care at the practice location at 2165 DIXWELL AVE until profile deactivation on 2017-06-09.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2165 Dixwell Ave

Hamden, CT 065142116

Telephone 2034073937
Fax 2034073932
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hamden, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Hamden, CT (704 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
49 49 $145.00 $130.10
92250 Photography of the retina
34 34 $105.00 $70.31
92004 New patient complete exam of visual system
12 12 $175.00 $155.44
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $106.67 $76.43

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CT 000805

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1578910816

Doctor of Optometry

NPI 1851315170

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 09, 2017

Record deactivated on June 09, 2017

NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2007

Registered at 2165 DIXWELL AVE, HAMDEN, CT 065142116 (Tel: 2034073937)

📍
Updated Business Mailing Address September 25, 2007

Registered at 87 GRANDVIEW AVE, WATERBURY, CT 067082514 (Tel: 2035742020)

👤
Provider Name / Credentials Updated September 25, 2007

Recorded as ROBERT BLAKE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Optometrist (License #000805 in CT)

🟢
Initial NPI Registration & Enumeration April 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Blake. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Blake

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659334068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: September 25, 2007
Deactivation Date: June 09, 2017

Mailing Address

87 Grandview Ave

Waterbury, CT 067082514

Phone: 2035742020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.