Active NPI
David I Bloomberg,OD,a Professional Corporation
- Optometrist
- Poway, CA
National Provider Identifier
1104673474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider Directory- Tax ID family
- David Bloomberg
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Poway, CA
- NPI 1447824222
-
- Optometrist
- Poway, CA
- NPI 1891542932
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.