Individual
MIKE BLECHACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
959 S MILLER ST, #202, LAKEWOOD, CO 80226-3927
(303) 716-5831
Mailing address
959 S MILLER ST, #202, LAKEWOOD, CO 80226-3927
(303) 716-5831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2527
CO
152W00000X
Optometrist
2701
WI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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