Bloomenstein, Marc
Bloomenstein, Marc is an individual health care provider with primary practice located at 8416 E Shea Blvd # C-101 , Scottsdale AZ 85260-6666. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bloomenstein, Marc can be contacted via phone (480) 483-3937.Contact Information
Primary practice address
8416 E Shea Blvd # C-101
Scottsdale AZ 85260-6666
Phone: (480) 483-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 884 | Arizona |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 884 | Arizona |
Profile Details
| NPI number | 1568428910 |
|---|---|
| LBN Legal business name | Bloomenstein, Marc |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568428910 | NPPES |
| Other | 86-0884211 | TAX ID |
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