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Contact Information

JENNIFER BLAKEMORE, OD
10791 BELLEVILLE RD
VAN BUREN CHARTER TOWNSHIP, MI48111
 Phone: 734-391-3080
 Fax: 734-345-5901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JENNIFER BLAKEMORE · (Female)

NPI # 1699267278
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/31/2018
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901005135
  • MI Medicaid 1699267278
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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