NPI 1205994415 · live from the CMS NPI Registry
Margaret L Blom, MD
Ophthalmology in Ellsworth, ME. National Provider Identifier 1205994415, active.
NPI record
| NPI | 1205994415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 270 High St, Suite 106, Ellsworth, ME 04605 |
| Practice phone | 207-667-5999 |
| Mailing address | 35 Eastward Ln, Suite 106, Ellsworth, ME 04605 |
| Enumerated | December 4, 2006 |
| Last updated | August 11, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 013869 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.