Blake Church, OD
NPI 1104717024ActiveIndividual· Optometrist· New Berlin, WI
Optometrist (OD) with Wisconsin Vision, LLC, practicing in New Berlin, Wisconsin. Enrolled in Medicare as practitioner - optometry. Alcon Vision LLC was the largest of 2 companies reporting payments in 2025, $50.19 in all, mostly food and beverage.
Overview
| NPI | 1104717024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jul 9, 2025 |
| Last updated in NPPES | Aug 3, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4089-35 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (WI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Wisconsin Vision, LLCSheboygan, WI · 27 clinicians
Industry payments (Open Payments)
- 2025$50.19 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $28.09 | 1 |
| Bausch & Lomb Americas Inc. | $22.10 | 1 |
What the 2025 payments were for
- Food and Beverage$50.19 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other optometrists in New Berlin
- 1225414733
- 1245594274
- 1275940603
- 1881957561
- 1023354610
- 1417972589
- 1114144276
- 1124792411
- 1134179427
- 1467664680
- 1598146490
- 1659833218
All 20 optometrists in New Berlin · All optometrists in Wisconsin