Eric Theodore Lindbloom IV

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C009722 Issued in NY

Practice address

665 Cleveland Dr
Cheektowaga, NY 14225-1042

Phone

(716) 836-4949

Fax

(716) 836-1517

NPI assigned

Oct 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Troidl Optical

  • Contact Lens Fitter
  • Cheektowaga, NY
  • NPI 1194880989
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1508378050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11495 CARY RD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049597",
            "telephone_number": "716-597-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CLEVELAND DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251042",
            "telephone_number": "716-836-4949",
            "fax_number": "716-836-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOOM",
        "first_name": "ERIC",
        "middle_name": "THEODORE",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C009722",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C009722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovan Lewis
• Teresa Li
• Liberty RC Inc (Cheektowaga Dialysis)
• Alicia Licata, LCSW
• Lighthouses, Inc.
• Lindell Chiropractic and Massage PLLC
• Darryl G Lindell
• Jill Lindell, LMT
• Christine Elizabeth Linder, FNP
• Cynthia Link

• Optician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.