David Blum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3032 Issued in CT

Practice address

100 N Water St
Norwalk, CT 06854-5206

Phone

(914) 584-3150

NPI assigned

May 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1962930487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HAMPDEN LN",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332424",
            "telephone_number": "914-584-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WATER ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068545206",
            "telephone_number": "914-584-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Greyrock Pl",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069013118",
            "country_code": "US",
            "telephone_number": "203-359-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-28",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daunne Patrisha Blake
• Cheryl Ann Blenk, ATC, CSCS
• Blick Medical Allies ,Inc
• Gary Blick, MD
• Eve Block, MD
• Alessandra Boccanfuso
• Laura Boehmer
• Danielle Christine Boland, LSW
• Wendy Lee Boller, DPT
• Donique Myoka Bolt, PHARMD

• Optometrist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.