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Blaze Sammon, OD
NPI 1093442121 · on the registry since 2022 · sole proprietor
Practice
- Address
- W8159 S Us Highway 2/141 Ste 102
Iron Mountain, MI 49801 - Phone
- (906) 779-9164
- Fax
- (906) 774-5547
- Organisation at this address
- Shoptikal Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan