Organization
DR. BLOOMBERG'S EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE VEGA (BILLING MANAGER)
(330) 758-6671
Entity
Organization
Contact information
Practice address
2200 NILES CORTLAND RD SE, WARREN, OH 44484-3042
(330) 372-6676
(330) 372-9206
Mailing address
2200 NILES CORTLAND RD SE, WARREN, OH 44484-3042
(330) 372-6676
(330) 372-9206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4008/T-032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770929
—
OH
Enumeration date
10/21/2008
Last updated
07/03/2019
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