Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE LAUREN ZICKEL BLEW, O.D.
Active Sole ProprietorDR. MICHELLE LAUREN ZICKEL BLEW, O.D. is a Optometrist healthcare provider located in KENNEBUNK, Maine. NPI 1891007688 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KENNEBUNK, ME
Registration Details
- NPI Number
- 1891007688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2010 (16.059889781372 yrs)
- Last Updated
- Sep 11, 2024
- Licenses
-
1048 (ME)046010377 (IL)4902 (MA)1048 (ME)OEG002586 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
183 PORT RD STE BKENNEBUNK, ME, 040437735Browse ME providers · Browse ZIP 04043
- Phone
- 2072169937
- Fax
- 2072169939
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
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.