National Provider Identifier

Eric Theodore Lindbloom IV

Eric Theodore Lindbloom IV is listed in the NPPES registry with a primary specialty of Optician in Cheektowaga, NY and a listed phone number of (716) 836-4949.

NPI 1508378050Cheektowaga, NYOptician

Profile Overview

NPI
1508378050
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
October 24, 2017
Last Updated
October 24, 2017

Practice Location

  • 665 Cleveland Dr
  • Cheektowaga, NY 14225-1042

Phone: (716) 836-4949

Mailing Address

  • 11495 Cary RD
  • Alden, NY 14004-9597

Specialties

  • Optician (156FX1800X)
  • Contact Lens Fitter (156FC0801X)
Full Record
NPI
1508378050
Entity Type
Individual
Last Name
Lindbloom
First Name
Eric
Middle Name
Theodore
Name Suffix
IV
Mailing Street Address
11495 Cary RD
Mailing City
Alden
Mailing State
NY
Mailing ZIP Code
14004-9597
Mailing Country
US
Mailing Phone
(716) 597-5203
Practice Street Address
665 Cleveland Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1042
Practice Country
US
Practice Phone
(716) 836-4949
Practice Fax
(716) 836-1517
Enumeration Date
October 24, 2017
Last Updated
October 24, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X), Contact Lens Fitter (156FC0801X)