ERIC J. BLOOM (NPI# 1912084427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912084427 |
| Entity Type | Individual |
| Full Name | ERIC J. BLOOM |
| Credential | O.D. |
| Practice Address |
38 North St Monticello NY 12701-1711 |
| Mailing Address |
Po Box 1020 Monticello NY 12701-1020 |
| Practice Telephone | 8457944930 |
| Practice Fax Number | 8457944842 |
| Mailing Telephone | 8457944930 |
| Mailing Fax Number | 8457944842 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NY2879 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00520241 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881795995 | Eric N. Bloom | Dentist | 2300 Lehigh Ave, Suite #145, Glenview, IL 60026-1691 | 2006-09-25 |
| 1902874670 | Eric J Bloom | Internal Medicine | 5501 Old York Road, Moss 4th Floor, Sley Building, Einstein Nephrology Associates, Philadelphia, PA 19141 | 2006-03-09 |
| 1730480666 | Eric James Bloom | Physical Therapist | 3035 S Ellsworth Rd, Building 4, Suite 128, Mesa, AZ 85212-2160 | 2010-11-09 |
| Street Address |
38 NORTH ST |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114455508 | Nicole Mikels | Optometrist | 506 S Country Ln, Monticello, IN 47960-1875 | 2017-05-30 |
| 1386025864 | Miranda Lepinski-peterson | Optometrist | 560 Cedar St, Monticello, MN 55362-8403 | 2015-06-10 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1265597066 | Matt J Hesse | Optometrist | 211 Cumberland Xing, Monticello, KY 42633-9000 | 2006-12-22 |
| 1689746141 | Elaine Donna Happ | Optometrist | 560 Cedar Street, Monticello, MN 55362-8403 | 2006-11-13 |
| 1548346596 | Robert Martin Breeding | Optometrist | 1515 N Main St, Monticello, KY 42633-2000 | 2006-10-31 |
| 1720198963 | Ricky Carroll Ferguson | Optometrist | 408 W Mccloy, Monticello, AR 71655 | 2006-08-30 |
| 1205941135 | Dr. J Psc | Optometrist | 1461 E Highway 90 Byp, Monticello, KY 42633-2327 | 2006-08-20 |
| 1790735801 | Tracy J. Schauer | Optometrist | 504 Pine St, Monticello, MN 55362-8570 | 2006-05-11 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on ERIC J. BLOOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.