David Steven Blum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TAO857 Issued in MD

Practice address

4425 Fitch Avenue
Suite 120
Baltimore, MD 21236-3927

Phone

(410) 682-3000

Fax

(410) 682-6890

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Blum and Bruck, O.D. P.a.Group PAC ID 9638299415, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• DRS. Blum & Bruck, O.D. P.a.

  • Optometrist
  • Manchester, MD
  • NPI 1326234337
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1679520928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 FITCH AVENUE",
            "address_2": "SUITE 120",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363927",
            "telephone_number": "410-682-3000",
            "fax_number": "410-682-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 FITCH AVENUE",
            "address_2": "SUITE 120",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363927",
            "telephone_number": "410-682-3000",
            "fax_number": "410-682-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "XZ72DS",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382-00-8400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTICA",
            "identifier": "522253219",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluez Psychological Group, LLC
• Grai P Bluez, PHD
• Bluezone Healthcare, LLC
• Alexander Blum
• Ari Michael Blum, LCSW-C
• Eric Blum, M.D.
• Jacob Blum, MD
• Jacob Ethan Blum
• Kathleen Browne Blum, MD
• Leslie S. Blum, LCSW-C, BCD

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.