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Contact Information

ERIC T LINDBLOOM IV
665 CLEVELAND DR
CHEEKTOWAGA, NY14225-1042
 Phone: 716-836-4949
 Fax: 716-836-1517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for ERIC T LINDBLOOM IV · (Male)

NPI # 1508378050
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2017
Last updated 10/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # C009722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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