Individual
JEFFREY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6683 CENTERVILLE BUSINESS PKWY, DAYTON, OH 45459-2655
(937) 723-7772
Mailing address
1020 WOODMAN DR STE 105, DAYTON, OH 45432-1410
(937) 723-3248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20A21241
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
34.017533
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
04/09/2026
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