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

KENNETH BLUM, OD

Active Sole Proprietor

KENNETH BLUM, OD is a Optometrist healthcare provider located in STAMFORD, Connecticut. NPI 1386741809 is currently active in the NPPES registry. Verify at CMS.

Optometrist · STAMFORD, CT

Registration Details

NPI Number
1386741809
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2006 (19.715917284447 yrs)
Last Updated
Jul 8, 2007
License
961 (CT)
Sole Proprietor
Yes

Practice Information

Address
100 GREYROCK PLACE
STAMFORD TOWN CENTER
STAMFORD, CT, 069013118
Browse CT providers · Browse ZIP 06901
Phone
2033599600
Fax
2039758336
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in STAMFORD, CT

Name Credential NPI
DR. GEOFFREY LELAND NEMSER OD 1871573535
DR. STEVEN SHABY O.D. 1144293317
DR. JESSE CHIN OD 1336113794
ROBERT L MAIOLO O.D. 1760589006
DR. JOHN P DECARLO O.D. 1861599102
DR. MICHAEL V KALUSTIAN OD 1003991100
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.