- Practice location
- 183 Port RD Ste B, Kennebunk, ME 04043-7735
- Phone
- 207-216-9937
- Fax
- 207-216-9939
- Last updated
- September 11, 2024
Michelle Lauren Zickel Blew is an Optometrist based in Kennebunk, ME. Michelle Lauren Zickel Blew practices in Kennebunk, ME and has the professional credentials of OD. The NPI Number for Michelle Lauren Zickel Blew is 1891007688 and holds a License No. 1048 (ME). The current practice location address for Michelle Lauren Zickel Blew is 183 Port RD Ste B, Kennebunk, ME 04043-7735 and can be reached out via phone at 207-216-9937 and via fax at 207-216-9939.
Provider Profile Details
- NPI Number
- 1891007688
- Provider Name
- Michelle Lauren Zickel Blew
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 183 Port RD Ste B, Kennebunk, ME 04043-7735
- Phone Number
- 207-216-9937
- Fax Number
- 207-216-9939
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Other Names
- Michelle Lauren Zickel, OD (Former Name)
- Provider Enumeration Date
- July 8, 2010
- Last Update Date
- September 11, 2024
- Certification Date
- September 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 183 Port RD Ste B
Kennebunk, ME 04043-7735 - City
- Kennebunk
- State
- Maine
- Zip
- 04043-7735
- Phone Number
- 207-216-9937
- Fax Number
- 207-216-9939
Provider Business Mailing Address Details
- Address
- 183 Port RD Ste B
Kennebunk, ME 04043-7735 - City
- Kennebunk
- State
- ME
- Zip
- 04043-7735
- Phone Number
- 207-216-9937
- Fax Number
- 207-216-9939
License Information
- License Number (1)
- 1048
- License State (1)
- ME
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 046010377
- License State (2)
- IL
- Taxonomy (2)
- Optometrist · 152W00000X
- License Number (3)
- 4902
- License State (3)
- MA
- Taxonomy (3)
- Optometrist · 152W00000X
- License Number (4)
- 1048
- License State (4)
- ME
- Taxonomy (4)
- Optometrist · 152W00000X
- License Number (5)
- OEG002586
- License State (5)
- PA
- Taxonomy (5)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michelle L Blew, OD?
The NPI number of Dr. Michelle L Blew, OD is 1891007688. It was assigned on July 8, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Michelle L Blew, OD?
Dr. Michelle L Blew, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number 1048.
Where does Dr. Michelle L Blew, OD practice?
The practice location is 183 Port RD Ste B, Kennebunk, ME 04043-7735. The office can be reached at 207-216-9937 (phone) or 207-216-9939 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891007688 directly on the NPPES registry website.