Individual
DR. BLAZE SAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
W8159 S US HIGHWAY 2/141 STE 102, IRON MOUNTAIN, MI 49801-9423
(906) 779-9164
(906) 774-5547
Mailing address
W1974 BEAVER PETE RD, VULCAN, MI 49892-8226
(616) 710-9939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005661
MI
Other
Enumeration date
08/08/2022
Last updated
10/16/2025
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