Dr Jeffrey C Blum, OD is a
Optometrist based in Lido Beach, New York. Dr Jeffrey C Blum is licensed to practice in New York (license number TUV004648) and his current practice location is
56 Reynolds Dr, Lido Beach, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 361-3364.
NPI number for Dr Jeffrey C Blum is 1588741052 and his current mailing address is 56 Reynolds Dr, Lido Beach, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588741052.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey C Blum |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
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| Location | 56 Reynolds Dr, Lido Beach, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588741052
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/17/2012
Medical Identifiers
Medical identifiers for Dr Jeffrey C Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588741052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TUV004648 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey C Blum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jeffrey C Blum, OD
56 Reynolds Dr,
Lido Beach, NY 11561-4928
Ph: (516) 889-0337 | Dr Jeffrey C Blum, OD
56 Reynolds Dr,
Lido Beach, NY 11561-4928
Ph: (516) 361-3364 |
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