Larry Martin Bloom in Sylvania - Optometrist

Larry Martin Bloom - NPI 1144400763

Larry Martin Bloom is a Optometrist in Sylvania, Ohio. Larry Martin Bloom practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry Martin Bloom is 1144400763. The last update date is 2009-03-09.

Larry Martin Bloom's current location address is 5600 Monroe St, Sylvania, Ohio. You can contact this provider via phone number 4198828467 and fax number 4198828951. The mailing address for Larry Martin Bloom is 5600 Monroe St, Sylvania, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Martin Bloom
Address 5600 Monroe St, Sylvania, Ohio
Phone Number 4198828467
Fax Number 4198828951
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1144400763
Provider Enumeration Date 2007-11-12
Last Updated Date 2009-03-09

Provider Mailing Address Detail

Address 5600 Monroe St
City Sylvania
State Ohio (OH)
Post Code 435602731
Phone Number 4198828467
Fax Number 4198828951

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2757/T1242
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Larry Martin Bloom

What is the unique 10-digit identifier code assigned to Larry Martin Bloom by the Centers for Medicare & Medicaid Services?

The Larry Martin Bloom has been issued the NPI (National Provider Identifier) 1144400763 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Larry Martin Bloom is physically located?

The Larry Martin Bloom is physically situated at the following address: 5600 Monroe St, Sylvania, OH, 435602731.

What is the Larry Martin Bloom's area of specialization and corresponding taxonomy classification?

The Larry Martin Bloom's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did the Larry Martin Bloom receive its 1144400763 assignment from the Centers for Medicare & Medicaid Services?

The Larry Martin Bloom was assigned its 1144400763 by the Centers for Medicare & Medicaid Services on 2007-11-12.

As of what date were the details related to Larry Martin Bloom most recently updated or revised?

The information pertaining to Larry Martin Bloom, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-09.

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