Myron I Bloch, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA000351800 Issued in NJ

Practice address

165 Main St
Paterson, NJ 07505-1201

Phone

(973) 278-4480

Fax

(973) 278-6003

NPI assigned

Jan 12, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1861542631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARCUS DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525228",
            "telephone_number": "845-354-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051201",
            "telephone_number": "973-278-4480",
            "fax_number": "973-278-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "MYRON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA000351800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4572106",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "728163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvia Adelina Blaustein, MD
• Sylvia F Blaustein, CNM
• Patricia Sara Blazon, PA
• Michael Blechner, MD
• David Paul Bleeker, MD
• Blooming Pharmacy LLC
• Blue River Women'S Health PA
• Blue Star Urgent Care
• Monica Anne Mary Domantay Bobila, MD
• Kishanrao Bogavelli, MD

• Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.