Myron Bloch OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00351800 Issued in NJ

Legal business name

MYRON BLOCH OD PC

Practice address

165 Main St
Paterson, NJ 07505-1201

Phone

(973) 278-4480

Fax

(973) 278-6003

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Myron I. Bloch, O.D.,P.C.

Title

Owner/Optometrist

Phone

(973) 278-4480

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1356664700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051201",
            "telephone_number": "973-278-4480",
            "fax_number": "973-278-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051201",
            "telephone_number": "973-278-4480",
            "fax_number": "973-278-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON BLOCH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "973-278-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.,P.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00351800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4572106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.