# BLOOM FAMILY EYE SURGEONS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649342890
- **Authorized official:** DR. ROBERT T BLOOM M.D. (OWNER)
- **Authorized official phone:** (937) 723-7772

## Contact information

- **Practice address:** 1 CHILDRENS PLZ, DAYTON, OH 45404-1898
- **Practice address phone:** (937) 641-3020
- **Practice address fax:** (937) 226-9605
- **Mailing address:** 1 CHILDRENS PLZ, DAYTON, OH 45404-1898
- **Mailing address phone:** (937) 723-7772
- **Mailing address fax:** (937) 226-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 04/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2134452 | — | OH |