Bloom Eye Associates, LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD020108 Issued in PA

Legal business name

BLOOM EYE ASSOCIATES, LTD.

Practice address

525 Jamestown St
Suite 207
Philadelphia, PA 19128-1751

Phone

(215) 483-8444

Fax

(215) 482-8456

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Howard Bloom, M.D.

Title

President

Phone

(215) 483-8444

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avraham N Cohen, M.D.

  • Ophthalmology Physician
  • Hatboro, PA
  • NPI 1144269283
  NPD (past)
• Ralph J Di Giovanni Jr., M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1053428144
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1154491629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "SUITE 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-483-8444",
            "fax_number": "215-482-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "SUITE 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-483-8444",
            "fax_number": "215-482-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM EYE ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-483-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD020108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "413410",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0053228000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD7676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0053242000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004716",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0053242000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0162550001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "297549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael William Block
• Amber Blocker
• Dara Blomain, MPH, RD, LDN
• Alexandra Kerrin Blomfield, MD
• Bloom Behavioral Connections LLC
• Anita R Bloom, MA, FAAA
• Benjamin Harris Bloom, M.D.
• Eric J Bloom, MD
• Joyce M Bloom, CRNA
• Julianna S Bloom, PH.D.

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.