Lawrence Bloom, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD020108-E Issued in PA

Practice address

525 Jamestown St
Ste. 207
Philadelphia, PA 19128-1751

Phone

(215) 483-8444

Fax

(215) 482-8456

NPI assigned

Oct 20, 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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Albany Medical College of Union University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riddle Eye Associates P CGroup PAC ID 1254319148, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbloom@bloomeye.emadirect.md

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.

• Riddle Eye Associates P C

  • Ophthalmology Physician
  • Media, PA
  • NPI 1346298536
  Medicare reassignment Care Compare group NPD
• Riddle Eye Associates PC

  • Optometrist
  • Media, PA
  • NPI 1841543030
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780766436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "STE. 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-483-8444",
            "fax_number": "215-482-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JAMESTOWN ST",
            "address_2": "STE. 207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281751",
            "telephone_number": "215-483-8444",
            "fax_number": "215-482-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD020108-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Harris Bloom, M.D.
• Eric J Bloom, MD
• Joyce M Bloom, CRNA
• Julianna S Bloom, PH.D.
• Lauren Christine Bloom
• Linda Bloom, LCSW
• Robert Wesley Bloom, MD
• Roy D Bloom, MD
• Sandra L. Bloom
• Bloomgarden & Associates

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.