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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY MARTIN BLOOM, O.D.

Active Sole Proprietor

LARRY MARTIN BLOOM, O.D. is a Optometrist healthcare provider located in SYLVANIA, Ohio. NPI 1144400763 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SYLVANIA, OH

Registration Details

NPI Number
1144400763
Provider Type
Individual
Gender
Male
NPI Issued
Nov 12, 2007 (18.784188564357 yrs)
Last Updated
Mar 9, 2009
License
2757/T1242 (OH)
Sole Proprietor
Yes

Practice Information

Address
5600 MONROE ST
SYLVANIA, OH, 43560
Browse OH providers · Browse ZIP 43560
Phone
4198828467
Fax
4198828951
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SYLVANIA, OH

Name Credential NPI
DR. CINDY ANN PEZO OD 1558367599
DR. CAROL L BROWN OD 1750330635
DR. ROXANNA THELMA POTTER O.D. 1790797579
DR. RICK A CHERRY O.D. 1760578454
DR. PRESTON G. LINLEY O.D. 1538379011
YASMEEN KAZKAZ 1609560291
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.