Active NPI
Steven Blake, OD
- Optometrist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5927476-9934
- Practice address
- 2557 S River Road
#B3
St George, UT 84790-1329 - Phone
- (435) 633-3256
- NPI assigned
- Jan 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 5927476-9934 | UT | |
| Vision Therapy Optometrist | 152WV0400X | 5927476-9934 | UT | |
| Pediatric Optometrist | 152WP0200X | 5927476-9934 | UT | |
| Optometrist | 152W00000X | 5927476-9934 | UT | Primary |
| Occupational Vision Optometrist | 152WX0102X | 5927476-9934 | UT | |
| Sports Vision Optometrist | 152WS0006X | 5927476-9934 | UT |
Addresses
Primary practice location
2557 S River Road
#B3
St George, UT 84790-1329
Mailing address
2557 S River Rd Ste B3
St George, UT 84790-8916
Phone (435) 200-1987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000595 | UT | Practitioner - Optometry | 0648568956 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2557 S River Rd
Suite B3
St George, UT 84790-8916
Phone (435) 200-1987
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Valley Eye Care | Optometrist | Current | Accepting new patients |
| Paradise Canyon Eye Care Inc | Optometrist | Current | Accepting new patients |
Locations
2557 S River Rd
Ste B3
St George, UT 84790
Phone (435) 200-1987
2557 S River Rd
#B3
St George, UT 84790
Phone (435) 633-3256
1449 N 1400 W
Ste 24
St George, UT 84770
Phone (435) 656-2003
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- St George, UT
- NPI 1740032176
-
- Optometrist
- St. George, UT
- NPI 1811159767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1831555010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 S RIVER RD STE B3",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908916",
"telephone_number": "435-200-1987",
"fax_number": "435-200-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2557 S RIVER ROAD",
"address_2": "#B3",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901329",
"telephone_number": "435-633-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-04",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "UT",
"license": "5927476-9934",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "UT",
"license": "5927476-9934",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "UT",
"license": "5927476-9934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "5927476-9934",
"primary": true
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "UT",
"license": "5927476-9934",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "UT",
"license": "5927476-9934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.