Douglas Wayne Bloss, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3922 Issued in OH

Practice address

1421 Grandview Ave
Columbus, OH 43212-2853

Phone

(614) 488-2020

Fax

(614) 488-0763

NPI assigned

Feb 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DWB, Inc

  dba Eye Designs Grandview

  • Optometrist
  • Columbus, OH
  • NPI 1063467892
  NPD (past)
• Eye Designs New Albany, Inc

  dba Eye Designs New Albany

  • Optometrist
  • New Albany, OH
  • NPI 1689614976
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962538140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122853",
            "telephone_number": "614-488-2020",
            "fax_number": "614-488-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122853",
            "telephone_number": "614-488-2020",
            "fax_number": "614-488-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSS",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Bloor, MA, BCBA
• Sean Devlin Bloor, MD
• Angela Marie Blose, FNP
• Christopher Blose, MED, LSC
• R Dennis Blose, MD
• Jason T. Bloss, MD
• Quinn Thomas Blosser
• Blossom Pediatric Therapy Partners LLC
• Geoffrey B Blossom, M.D.
• Judy A Blount, HOME HEALTH AIDE

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.