Organization
BLOOM FAMILY EYE SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T BLOOM M.D. (OWNER)
(937) 723-7772
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3020
(937) 226-9605
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 723-7772
(937) 226-9605
Taxonomy
Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134452
—
OH
Enumeration date
11/14/2006
Last updated
04/24/2020
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