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Contact Information

BLOOM VISION, LLC
301 EAST ST
BLOOMSBURG, PA17815-1846
 Phone: 570-387-8800
 Fax: 570-784-8887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLOOM VISION LLC · (Female)

NPI # 1255339065
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Other 436035 BLUE SHIELD
  • PA Other 02497000 CAPITAL BLUE CROSS
  • PA Other 436035 FIRST PRIORITY HEALTH
  • PA Other 436035 KEYSTONE HEALTH PLAN CENT
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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