Individual
DR. ERIC E BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578
Mailing address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
43724
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0452890001
MEDICARE DMERC
CO
01
—
608436900
US DEPT LABOR WORK COMP
CO
05
—
75727749
—
CO
01
—
923384020820
EYE SPECIALISTS
CO
01
—
BL672952
ANTHEM
CO
01
—
CO3724
EYEMED EYECARE
CO
01
—
P00243931
RAILROAD MEDICARE
CO
Enumeration date
05/09/2006
Last updated
08/07/2024
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