Michael M Bloom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1262 Issued in GA

Practice address

2625 Piedmont Rd NE
Suite 36G
Atlanta, GA 30324-3086

Phone

(404) 233-3513

Fax

(404) 814-0184

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ross Eyecare Group, P.C.Group PAC ID 4385721943, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ross Eyecare Group, P.C.

  • Optometrist
  • Atlanta, GA
  • NPI 1063529725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1710094503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 36G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "404-233-3513",
            "fax_number": "404-814-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 36G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "404-233-3513",
            "fax_number": "404-814-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn R Bloom, MD
• Heather Lynn Bloom, MD
• Ingrid B Bloom, MD
• Jennifer Ann Bloom, RN
• Lauren Dufour Bloom, MD
• Blooming Care in-Home Care Services
• Blooming Forward ABA LLC
• Blossom ABA Therapy LLC
• Cameron Nichole Blount
• India Blount

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.