L. Bloomingburg, O.D

NPI 1770666349 · on the registry since 2006 · sole proprietor

Practice

Address: 138 S Washington Ave
Henderson, TN 38340
Phone: (731) 989-3511
Fax: (731) 989-3515
Organisation at this address: Phelps Eye Care, Pllc
Larry-W-Bloomingburg-Od
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee