Larry Martin Bloom, O.D.

Optometrist · Sylvania, OH

Individual Active NPI

NPI number 1144400763

Practice location

5600 Monroe St
Sylvania, OH 43560
Phone
(419) 882-8467
Fax
(419) 882-8951

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NPI record

NPI
1144400763
Entity type
Individual (Type 1)
Enumeration date
November 12, 2007
Last updated
March 9, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2757/T1242 OH

Mailing address

5600 Monroe St
Sylvania, OH 43560-2731
Phone
(419) 882-8467
Fax
(419) 882-8951

About Dr. Bloom

Larry Martin Bloom, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5600 Monroe St, Sylvania, OH 43560. The NPI number 1144400763 was assigned on November 12, 2007 and the record was last updated on March 9, 2009.

Dr. Bloom lists a license in the registry: #2757/T1242 (OH) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Martin Bloom, O.D.?

The NPI number is 1144400763.

What is the phone number of Dr. Bloom?

The phone number listed for the practice location is (419) 882-8467.

Where is Dr. Bloom located?

5600 Monroe St, Sylvania, OH 43560.

What is the taxonomy code for Dr. Bloom?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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