NPIMap

Individual provider Active NPI

Neil Blum, OD

  • Optometrist
  • Macedonia, OH
National Provider Identifier
1902937840
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2778T1041 Issued in OH
Practice address
8210 Macedonia Commons Blvd Unit 52
Macedonia, OH 44056-1850
Phone
(330) 468-3313
Fax
(330) 468-3313
NPI assigned
Mar 9, 2007
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2778T1041 OH Primary

Addresses

Primary practice location

8210 Macedonia Commons Blvd Unit 52
Macedonia, OH 44056-1850

Mailing address

8210 Macedonia Commons Blvd Unit 52
Macedonia, OH 44056-1850
Phone (330) 468-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2778T1041OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebm Eyecare LLC Optometrist PastSince Jul 17, 2022 Accepting new patients
Paris Opticians Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1902937840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD UNIT 52",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561850",
            "telephone_number": "330-468-3313",
            "fax_number": "330-468-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD UNIT 52",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561850",
            "telephone_number": "330-468-3313",
            "fax_number": "330-468-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2778T1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.