Thomas E Blom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3086 Issued in FL

Practice address

2450 Bee Ridge Rd
Suite a
Sarasota, FL 34239-6347

Phone

(941) 925-3937

Fax

(941) 925-4967

NPI assigned

Nov 14, 2005

Last updated

Aug 19, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Illinois College of Optometry at Chicago, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paradise Eyes LLCGroup PAC ID 7517409543, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Paradise Eyes LLC

  • Optometrist
  • Bradenton, FL
  • NPI 1952157521
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Thomas Blom, O.D., P.a.

  • Optometrist
  • Sarasota, FL
  • NPI 1700027521
  Authorized official Same address or phone
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Venice, FL
  • NPI 1740471705
  NPD (past)
• Eye Doctors Optical Outlets, PA

  • Optometrist
  • Sarasota, FL
  • NPI 1891023289
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1699756981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 BEE RIDGE RD",
            "address_2": "SUITE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396347",
            "telephone_number": "941-925-3937",
            "fax_number": "941-925-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 BEE RIDGE RD",
            "address_2": "SUITE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396347",
            "telephone_number": "941-925-3937",
            "fax_number": "941-925-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620830400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn G Bliss, ARNP
• Andrew D Blix, ARNP
• Sara Lauzze Blix, DPT
• Jenna Morgan Bloch, DPT
• Dale A Block, LMFT CAP
• Brian D. Blondin, M.D.
• Cynthia R. Bloom, M.D.
• Frederick L Bloom, M.D.
• Blue Sky Psychological Services, PA
• Blue Waters Health Center, LLC

• Optometrist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.