Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Michelle Maria Kavanaugh, OPHTHALMICDISPENSER

Individual provider Optician · NPI 1295231405

Mrs. Michelle Maria Kavanaugh, OPHTHALMICDISPENSER is an Optician in Endwell, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

3505 Watson Blvd
Endwell, NY 13760
Phone: (607) 321-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 009727 (NY)

Record details

NPI number1295231405
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPHTHALMICDISPENSER
Sole proprietorYes
NPI enumeratedApril 5, 2018
Last updated in NPPESApril 5, 2018

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