Organization
DR BLOOMBERG EYE CLINIC
Active
Parent organization
DR BLOOMBERG EYE CLINIC
Other names
BLOOMBERG EYECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR BLOOMBERG EYE CLINIC
Authorized official
DR. BRAD E. BLOOMBERG OD (OWNER)
(330) 758-6671
Entity
Organization
Contact information
Practice address
1449 BOARDMAN CANFIELD RD, STE 230, BOARDMAN, OH 44512-8053
(330) 758-6671
(330) 758-1451
Mailing address
1449 BOARDMAN CANFIELD RD, STE 230, BOARDMAN, OH 44512-8053
(330) 758-6671
(330) 758-1451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4008/T-032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0754045
—
OH
05
—
770910
—
OH
Enumeration date
10/19/2008
Last updated
10/15/2020
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