| NPI | 1649342890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T BLOOM Owner 937-723-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-04-24 |