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General NPI Number Information
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NPI Number | 1659222743
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Entity Type | Organization
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Legal Business Name | BLUWATERS DRY EYE SPA, PLLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 220 W MIDDLE ST
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City | CHELSEA
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State | MI
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Zip | 48118-1506
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Country | US
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Telephone | 734-251-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W MIDDLE ST
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City | CHELSEA
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State | MI
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Zip | 48118-1506
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Country | US
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Telephone | 734-251-5445
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | DR. JULIE STORER
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Credential | OD
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Telephone | 734-251-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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