Rothbloom, Stephen L
Rothbloom, Stephen L is an sole proprietor health care provider with primary practice located at 1655 Spring Road , Smyrna GA 30080. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rothbloom, Stephen L can be contacted via phone (678) 842-9544.Contact Information
Primary practice address
1655 Spring Road
Smyrna GA 30080
Phone: (678) 842-9544
Fax: (678) 842-9291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1090 | Georgia |
Profile Details
| NPI number | 1780686048 |
|---|---|
| LBN Legal business name | Rothbloom, Stephen L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 2nd, 2008 - about 17 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 | 1780686048 | NPPES |
| Georgia | Other | 205228732 | CIGNA |
| Georgia | Other | 205228732 | CIGNA |
| Georgia | Other | 205228732 | CIGNA |
| Georgia | MEDICAID | 100781 | CIGNA |
| Georgia | Other | 205228732 | CIGNA |
| Georgia | Other | 205228732 | CIGNA |
| Georgia | Other | 205228732 | CIGNA |
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