| NPI | 1710480439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TODD BLOOM Owner 937-723-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |