Bloom, Tanya Sarah

Bloom, Tanya Sarah is an individual health care provider with primary practice located at 322 N Aurora St , Ithaca NY 14850-4202. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Bloom, Tanya Sarah can be contacted via phone (607) 277-4749.

Contact Information

Primary practice address
322 N Aurora St Ithaca NY 14850-4202
Phone: (607) 277-4749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 008632 New York
Eye and Vision Services Providers / Optometrist 152W00000X 3039 Connecticut
Eye and Vision Services Providers / Vision Therapy 152WV0400X 3039 Connecticut
Eye and Vision Services Providers / Vision Therapy 152WV0400X 8632 New York

Profile Details

NPI number 1144750035
LBN Legal business name Bloom, Tanya Sarah
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated May 2nd, 2019 - about 5 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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