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 17 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 15 years ago.1780686048 NPI Information
Basic NPI information of STEPHEN L ROTHBLOOM (NPI 1780686048) is provided below.
| 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
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1090 | GA |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| 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 |
STEPHEN L ROTHBLOOM (NPI 1780686048) Office Location
Office location of STEPHEN L ROTHBLOOM is provided in the Google maps below.Providers in same location
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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:
|
| 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:
|