| Bloom Vision, Llc | |
|
301 East St, Bloomsburg, PA 17815-1846 | |
| (570) 387-8800 | |
| (570) 784-8887 |
| Full Name | Bloom Vision, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 301 East St, Bloomsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255339065 | NPI | - | NPPES |
| 436035 | Other | PA | KEYSTONE HEALTH PLAN CENT |
| 436035 | Other | PA | BLUE SHIELD |
| 436035 | Other | PA | FIRST PRIORITY HEALTH |
| 02497000 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Pennsylvania) | Primary |
| Provider Name | Laurie Costarelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417955600 PECOS PAC ID: 7315060944 Enrollment ID: I20101004000909 |
| Provider Name | Nicholas Drobny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174521371 PECOS PAC ID: 9133242845 Enrollment ID: I20101007000719 |
| Provider Name | Peter Costarelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922268143 PECOS PAC ID: 6103859988 Enrollment ID: I20220318000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Vision, Llc 301 East St, Bloomsburg, PA 17815-1846 Ph: (570) 387-8800 | Bloom Vision, Llc 301 East St, Bloomsburg, PA 17815-1846 Ph: (570) 387-8800 |
Dr. David M. Clark, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Lunger Dr, Bloomsburg, PA 17815 Phone: 570-387-5239 | |
Dr. James Joseph Weyand, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 W Hillcrest Dr, Bloomsburg, PA 17815 Phone: 570-594-5028 Fax: 570-387-0832 | |
Nicholas Drobny, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 Fax: 570-784-8887 | |
Dr. Joseph Serniak, OD Optometrist Medicare: Medicare Enrolled Practice Location: 100 Lunger Dr, Bloomsburg, PA 17815 Phone: 570-387-5239 Fax: 570-387-5294 | |
Bogar Vision Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 | |
Dr. Laurie Costarelli, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 East St, Bloomsburg, PA 17815 Phone: 570-387-8800 Fax: 570-784-8887 |