Individual
DR. MARC BLOOMENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8416 E SHEA BLVD # C-101, SCOTTSDALE, AZ 85260-6666
(480) 483-3937
Mailing address
8416 E SHEA BLVD # C-101, SCOTTSDALE, AZ 85260-6666
(480) 483-3937
(480) 483-8813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
884
AZ
152WC0802X
Corneal and Contact Management Optometrist
884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0884211
TAX ID
—
Enumeration date
04/25/2006
Last updated
04/26/2022
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