Organization
BLOOM EYE ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE HOWARD BLOOM M.D. (PRESIDENT)
(215) 483-8444
Entity
Organization
Contact information
Practice address
525 JAMESTOWN ST, SUITE 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456
Mailing address
525 JAMESTOWN ST, SUITE 207, PHILADELPHIA, PA 19128-1751
(215) 483-8444
(215) 482-8456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD020108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004716
AETNA
PA
01
—
0053228000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0053242000
AMERIHEALTH
PA
01
—
0162550001
MEDICARE DME
PA
01
—
297549
UNITED HEALTHCARE
PA
01
—
413410
BLUE SHIELD
PA
01
—
CD7676
MEDICARE RAILROAD
PA
Enumeration date
11/09/2006
Last updated
04/20/2008
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