National Provider Identifier
Tanya Sarah Bloom, OD
Tanya Sarah Bloom, OD is listed in the NPPES registry with a primary specialty of Vision Therapy Optometrist in Ithaca, NY and a listed phone number of (607) 277-4749.
Profile Overview
- NPI
- 1144750035
- Provider Type
- Individual
- Primary Specialty
- Vision Therapy Optometrist
- Enumeration Date
- June 14, 2017
- Last Updated
- May 02, 2019
Practice Location
- 322 N Aurora St
- Ithaca, NY 14850-4202
Phone: (607) 277-4749
Specialties
- Vision Therapy Optometrist (152WV0400X)
- Optometrist (152W00000X)
- Vision Therapy Optometrist (152WV0400X)
Full Record
- NPI
- 1144750035
- Entity Type
- Individual
- Last Name
- Bloom
- First Name
- Tanya
- Middle Name
- Sarah
- Name Prefix
- Dr.
- Credential
- OD
- Mailing Street Address
- 322 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4202
- Mailing Country
- US
- Mailing Phone
- (607) 277-4749
- Practice Street Address
- 322 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4202
- Practice Country
- US
- Practice Phone
- (607) 277-4749
- Enumeration Date
- June 14, 2017
- Last Updated
- May 02, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Vision Therapy Optometrist (152WV0400X), Optometrist (152W00000X), Vision Therapy Optometrist (152WV0400X)