Provider Demographics
NPI:1639332935
Name:BLUHM, KATIE BIGARI (OD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:BIGARI
Last Name:BLUHM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:TERESE
Other - Last Name:BIGARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1645 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-1550
Mailing Address - Country:US
Mailing Address - Phone:715-502-3464
Mailing Address - Fax:715-502-3463
Practice Address - Street 1:1645 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1550
Practice Address - Country:US
Practice Address - Phone:715-502-3464
Practice Address - Fax:715-502-3463
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002425152W00000X
MI4901004478152W00000X
WI3166152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist