Bloom, Lance Elden

Bloom, Lance Elden is an individual health care provider with primary practice located at 291 N Milwaukee St Ste A-3 , Boise ID 83704-9132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bloom, Lance Elden can be contacted via phone (833) 776-2020.

Contact Information

Primary practice address
291 N Milwaukee St Ste A-3 Boise ID 83704-9132
Phone: (833) 776-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0003017 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100491 Idaho

Profile Details

NPI number 1912331877
LBN Legal business name Bloom, Lance Elden
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Jan 5th, 2023 - about 3 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.

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