Organization
MICHELLE BLEW, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LAUREN ZICKEL BLEW OD (OWNER)
(319) 631-3404
Entity
Organization
Contact information
Practice address
183 PORT RD STE B, KENNEBUNK, ME 04043-7735
(207) 216-9937
(207) 216-9939
Mailing address
183 PORT RD STE B, KENNEBUNK, ME 04043-7735
(207) 216-9937
(207) 216-9939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
11/14/2024
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