- Practice location
- 322 N Aurora St, Ithaca, NY 14850-4202
- Phone
- 607-277-4749
- Fax
- —
- Last updated
- May 2, 2019
Tanya Sarah Bloom is an Optometrist, Vision Therapy based in Ithaca, NY. Tanya Sarah Bloom practices in Ithaca, NY and has the professional credentials of OD. The NPI Number for Tanya Sarah Bloom is 1144750035 and holds a License No. 008632 (NY). The current practice location address for Tanya Sarah Bloom is 322 N Aurora St, Ithaca, NY 14850-4202 and can be reached out via phone at 607-277-4749.
Provider Profile Details
- NPI Number
- 1144750035
- Provider Name
- Tanya Sarah Bloom
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 322 N Aurora St, Ithaca, NY 14850-4202
- Phone Number
- 607-277-4749
- Primary Taxonomy
- Optometrist, Vision Therapy · 152WV0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 14, 2017
- Last Update Date
- May 2, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 322 N Aurora St
Ithaca, NY 14850-4202 - City
- Ithaca
- State
- New York
- Zip
- 14850-4202
- Phone Number
- 607-277-4749
Provider Business Mailing Address Details
- Address
- 322 N Aurora St
Ithaca, NY 14850-4202 - City
- Ithaca
- State
- NY
- Zip
- 14850-4202
- Phone Number
- 607-277-4749
License Information
- License Number (1)
- 008632
- License State (1)
- NY
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 3039
- License State (2)
- CT
- Taxonomy (2)
- Optometrist · 152W00000X
- License Number (3)
- 3039
- License State (3)
- CT
- Taxonomy (3)
- Optometrist, Vision Therapy · 152WV0400X
- License Number (4)
- 8632
- License State (4)
- NY
- Taxonomy (4)
- Optometrist, Vision Therapy · 152WV0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Tanya S Bloom, OD?
The NPI number of Dr. Tanya S Bloom, OD is 1144750035. It was assigned on June 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Tanya S Bloom, OD?
Dr. Tanya S Bloom, OD is registered under the primary taxonomy Optometrist, Vision Therapy (code 152WV0400X), licensed in NY under license number 008632.
Where does Dr. Tanya S Bloom, OD practice?
The practice location is 322 N Aurora St, Ithaca, NY 14850-4202. The office can be reached at 607-277-4749 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144750035 directly on the NPPES registry website.