Blomberg, Scott

Blomberg, Scott is an individual health care provider with primary practice located at 121 N Grand Ave W , Springfield IL 62702-2562. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blomberg, Scott can be contacted via phone (217) 528-3233.

Contact Information

Primary practice address
121 N Grand Ave W Springfield IL 62702-2562
Phone: (217) 528-3233
Fax: (217) 528-4511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009526 Illinois

Profile Details

NPI number 1033161732
LBN Legal business name Blomberg, Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 6th, 2012 - about 14 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.

Request for update

Popular Providers