NPI 1003814096 · live from the CMS NPI Registry
Michelle A. Broderick, O.D.
Optometrist in Brunswick, ME. National Provider Identifier 1003814096, active.
NPI record
| NPI | 1003814096 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 82 Maine St, Brunswick, ME 04011 |
| Practice phone | 207-729-8474 |
| Enumerated | July 13, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT767 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.