Bloom Optical, Llc

LBN: Bloom Optical, Llc
Bloom Optical, Llc is an health care organization with primary practice located at 2921 N Clarkson St , Fremont NE 68025-2371. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bloom Optical, Llc can be contacted via phone (402) 721-8823, or through Alcorn, Steve D via phone (402) 721-8823.

Contact Information

Primary practice address
2921 N Clarkson St Fremont NE 68025-2371
Phone: (402) 721-8823
Fax: (402) 721-2482
Website:
Map and Directions
Authorized official contact:
Name: Alcorn, Steve D Doctor of Optometry (OD)
Phone: (402) 721-8823

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1085 Nebraska

Profile Details

NPI number 1821076282
LBN Legal business name Bloom Optical, Llc
DBA Doing business as
Authorized official Alcorn, Steve D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2006
Last updated Nov 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821076282 NPPES
Nebraska MEDICAID 10024947900

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