SCOTT BLOOM (NPI# 1407904188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407904188 |
| Entity Type | Individual |
| Full Name | SCOTT BLOOM |
| Practice Address |
1510 N Broadway St Hastings MI 49058-1007 |
| Practice Telephone | 2699452192 |
| Practice Fax Number | 2699453937 |
| Mailing Telephone | 2699452192 |
| Mailing Fax Number | 2699453937 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4903603 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2813638 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902946924 | Scott Bloom | Social Worker | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-02-07 |
| 1457975955 | Scott A Bloom | Counselor | 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 | 2020-06-01 |
| 1932428059 | Scott William Bloom | Surgery | 2415 N Orange Ave Ste 400, Orlando, FL 32804-5505 | 2010-05-28 |
| 1457432171 | Scott Phillip Bloom | Family Medicine | 99 Jericho Tpke, Suite 206, Jericho, NY 11753-1073 | 2006-10-18 |
| Street Address |
1510 N BROADWAY ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891956603 | Renee Lyn Irey Owen | Dentist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2008-06-24 |
| 1376732131 | Scott Bloom Od Plc | Optometrist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2007-10-17 |
| 1326254277 | Angela Vredenburg | Dentist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2007-05-15 |
| 1447479621 | James C. Peurach Dds, P.C. | Dentist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2007-04-25 |
| 1952520140 | James Carl Peurach | Dentist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2007-04-25 |
| 1568586600 | Bernard Bloom | Optometrist | 1510 N Broadway St, Hastings, MI 49058-1007 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1154884385 | Kelly Marie James | Optometrist | 803 W State St # M-43, Hastings, MI 49058-1660 | 2019-04-14 |
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1528384047 | Jennifer Raelyn Deets | Optometrist | 213 S Burlington Ave, Hastings, NE 68901-5905 | 2010-04-08 |
| 1194882068 | Rx Optical Laboratories, Inc. | Optometrist | 803 W State St, Hastings, MI 49058-1660 | 2007-01-02 |
| 1013935501 | Dena L Mcgree | Optometrist | 1011 N Frontage Rd, Hastings, MN 55033-2662 | 2006-07-17 |
| 1114983921 | Robin L Schutt | Optometrist | 220 S Burlington Ave, Suite 1, Hastings, NE 68901-5915 | 2006-04-21 |
| 1710942842 | Richard Joseph Arneson | Optometrist | 2119 W 12th St, Hastings, NE 68901-3605 | 2006-04-20 |
| 1659334621 | Ann Hemmeke | Optometrist | 1761 W M-43 Hwy, Suite 1, Hastings, MI 49058-8378 | 2006-04-10 |
| Find all providers in HASTINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.