Blumthal, Robert James

Blumthal, Robert James is an individual health care provider with primary practice located at 2020 W Iles Ave , Springfield IL 62704-4174. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Blumthal, Robert James can be contacted via phone (217) 698-3030.

Contact Information

Primary practice address
2020 W Iles Ave Springfield IL 62704-4174
Phone: (217) 698-3030
Fax: (217) 698-3068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007512 Illinois
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 046007512 Illinois
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 046007512 Illinois

Profile Details

NPI number 1578568077
LBN Legal business name Blumthal, Robert James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 8th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578568077 NPPES
Illinois MEDICAID 046007512
Illinois Other 410033847

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