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STEPHEN L ROTHBLOOM O.D., NPI 1780686048

Optometrist in SMYRNA, GA

Last Updated on : Apr 02,2008

About STEPHEN L ROTHBLOOM (NPI 1780686048)


STEPHEN L ROTHBLOOM is an Optometrist provider in SMYRNA, United States. His medical specialization is Optometrist .

1780686048 is NPI number of STEPHEN L ROTHBLOOM.

STEPHEN L ROTHBLOOM's primary taxonomy code based on NPI Lookup is 152W00000X with license number 1090. This taxonomy code refers to Optometrist.

STEPHEN L ROTHBLOOM has more than 16 years of experience.

STEPHEN L ROTHBLOOM current practice location address is 1655 SPRING RD SE, SMYRNA, GA. STEPHEN L ROTHBLOOM can be reached out via phone at 678-842-9544 and via fax at 678-842-9291 .

You can also correspond with STEPHEN L ROTHBLOOM through mail at mailing address 1655 SPRING ROAD, SMYRNA, GA, United States. Mailing address contact number is 678-842-9544.

The enumeration date of STEPHEN L ROTHBLOOM is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.

1780686048 NPI Information

Name STEPHEN L ROTHBLOOM
National Provider Id (NPI) 1780686048
Entity Type Individual
Gender M
Credential O.D.
Practice Address 1655 SPRING RD SE,
SMYRNA, GA, United States
Practice Telephone 678-842-9544
Practice Fax Number 678-842-9291
Mailing Address 1655 SPRING ROAD ,
SMYRNA, GA, United States
Mailing Telephone 678-842-9544
Mailing Fax Number 678-842-9291
Enumeration Date 01-Jun-2005
Last Updated Date 02-Apr-2008

STEPHEN L ROTHBLOOM (NPI 1780686048) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist 1090 GA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
100781 MEDICAID (05) GA
205228732 Other (non-Medicare) (01) GA Blue Cross Blue Shield
205228732 Other (non-Medicare) (01) GA Cigna
205228732 Other (non-Medicare) (01) GA Vision Service Plan
205228732 Other (non-Medicare) (01) GA United Health Care
205228732 Other (non-Medicare) (01) GU PHCS
205228732 Other (non-Medicare) (01) GA Vision Care Plan
5932760001 MEDICARE NSC (07) GA
T97812 MEDICARE UPIN (02) GA

STEPHEN L ROTHBLOOM (NPI 1780686048) Office Location

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1093085235 TARYN MARIE CALLAHAN Pharmacist 700 JIMMY DR,
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1437571767 SHAWN HILLIARD Psychologist, School 82 MONROVIA AVE,
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1063697092 GREEN VALLEY SNF LLC Skilled Nursing Facility 3034 S DUPONT BLVD,
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1225574643 CRYSTAL DIMATTIA Registered Nurse 275 BRENFORD STATION RD,
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1588643506 DEAN R DOBBERT Emergency Medicine P.O. BOX 30170,
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1871730077 ANDREW JAMES KENNEDY Pharmacist 82 LIBORIO LN,
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1578151007 YASINA ARLENE JOHNSON Behavior Technician 329 GARRISONS LAKE BLVD,
SMYRNA, DE, United States
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1649500760 TIWANA L. MILLER Physician Assistant 200 HYGEIA DR, CCHS PHYSICIAN CONTRACTING, SUITE 2300
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1477142503 TROY PATRICE BELL Behavior Technician 329 GARRISONS LAKE BLVD,
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1982880100 RITE AID OF DELAWARE INC Durable Medical Equipment & Medical Supplies 200 NEWBERRY COMMONS,
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1407094907 HETAL CHIRAG PATEL Chiropractor 29 N EAST ST,
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1104164524 CHRISTIANACARE HEALTH SYSTEMS Clinic/Center, Community Health DELAWARE 100 SUNNY SIDE RD, HOME FOR THE CHRONICALLY ILL
SMYRNA, DE, United States
18-Jan-2013
1023407798 AMBER DYE Registered Nurse, Emergency 114 HUNTING WAY,
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17-Jan-2015
1164402970 GREGORY A HOLMES Family Medicine 200 HYGEIA DR, SUITE 2300
NEWARK, DE, United States
18-Jan-2006
1952990574 CASSIDY MARIE BOOMS Behavior Technician 329 GARRISONS LAKE BLVD,
SMYRNA, DE, United States
18-Jan-2021
1891447108 ASBURY CROSSINGS REHAB AND HEALTHCARE CENTER LLC Skilled Nursing Facility 3034 S DUPONT BLVD,
SMYRNA, DE, United States
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1760536262 PRIYANKA DIXIT-PATEL Family Medicine 100 S MAIN ST, SUITE 207
SMYRNA, DE, United States
22-Jan-2007
1144767682 NEW CENTURY HOSPICE DELAWARE LLC Hospice Care, Community Based 655 BRAWLEY SCHOOL RD, STE 200
MOORESVILLE, NC, United States
23-Jan-2017
1649734666 KYLE V MOHAN Physical Therapist 1 FEDERAL ST # 200,
CAMDEN, NJ, United States
23-Jan-2019

FAQs

Whose NPI Number is 1780686048?

1780686048 is the NPI number of STEPHEN L ROTHBLOOM.

What is the specialty for STEPHEN L ROTHBLOOM?

The Specialty of STEPHEN L ROTHBLOOM is Optometrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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