Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAZE SAMMON, OD
Active Sole ProprietorDR. BLAZE SAMMON, OD is a Optometrist healthcare provider located in IRON MOUNTAIN, Michigan. NPI 1093442121 is currently active in the NPPES registry. Verify at CMS.
Optometrist · IRON MOUNTAIN, MI
Registration Details
- NPI Number
- 1093442121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2022 (4.00322849243 yrs)
- Last Updated
- Oct 16, 2025
- License
-
4901005661 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
W8159 S US HIGHWAY 2/141 STE 102IRON MOUNTAIN, MI, 498019423Browse MI providers · Browse ZIP 49801
- Phone
- 9067799164
- Fax
- 9067745547
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in IRON MOUNTAIN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DEAN L HARTWIG | O. D. | 1457355067 |
| DR. ROBERT LEONARD BAKER | O.D. | 1639128093 |
| DAVID D SIEGLER | O.D. | 1568412336 |
| DR. PAUL RABOIN | O.D. | 1710039169 |
| BEAU DAVID POQUETTE | O.D. | 1649582586 |
| DR. AUDRY LYNN POQUETTE | O.D. | 1568742229 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.