NPI 1891007688 · live from the CMS NPI Registry
Michelle Lauren Zickel Blew, O.D.
Optometrist in Kennebunk, ME. National Provider Identifier 1891007688, active.
NPI record
| NPI | 1891007688 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 183 Port Rd Ste B, Kennebunk, ME 04043 |
| Practice phone | 207-216-9937 |
| Enumerated | July 8, 2010 |
| Last updated | September 11, 2024 |
| Sole proprietor | Yes |
| Other names | Michelle Zickel |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 1048 (ME) |
| Optometrist | 152W00000X | 046010377 (IL) |
| Optometrist | 152W00000X | 4902 (MA) |
| Optometrist | 152W00000X | 1048 (ME) |
| Optometrist primary | 152W00000X | OEG002586 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.