Blom, Thomas E

Blom, Thomas E is an sole proprietor health care provider with primary practice located at 2450 Bee Ridge Rd Suite A, Sarasota FL 34239-6347. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blom, Thomas E can be contacted via phone (941) 925-3937.

Contact Information

Primary practice address
2450 Bee Ridge Rd Suite A Sarasota FL 34239-6347
Fax: (941) 925-4967
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3086 Florida

Profile Details

NPI number 1699756981
LBN Legal business name Blom, Thomas E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Aug 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699756981 NPPES
Florida MEDICAID 620830400

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