Organization Active NPI

David I Bloomberg,OD,a Professional Corporation

  • Optometrist
  • Poway, CA
National Provider Identifier
1104673474
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAVID I BLOOMBERG,OD,A PROFESSIONAL CORPORATION
Practice address
13035 Pomerado Rd Ste C
Poway, CA 92064-4247
Phone
(858) 486-7609
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Bloomberg
Title
Owner
Phone
(858) 486-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13035 Pomerado Rd Ste C
Poway, CA 92064-4247

Mailing address

10504 Whispering Hills LN
San Diego, CA 92130-4885
Phone (858) 342-5240

Other names 1

  • Poway Vision Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Bloomberg3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1104673474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 WHISPERING HILLS LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304885",
            "telephone_number": "858-342-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 POMERADO RD STE C",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644247",
            "telephone_number": "858-486-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID I BLOOMBERG,OD,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BLOOMBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-486-7609",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.