Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lance Elden Bloom, OD

Individual provider Optometrist · NPI 1912331877

Dr. Lance Elden Bloom, OD is an Optometry in Boise, Idaho. Qualified in 2013, 13 years ago. Practices with Lwk P C, a 14-clinician group and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
13
Licensed in
CO, ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

291 N Milwaukee St Ste A-3
Boise, ID 83704-9132
Phone: (833) 776-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100491 (ID)
Optometrist Taxonomy 152W00000X · Licence 0003017 (CO)

Record details

NPI number1912331877
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 28, 2013
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023
Mailing address3485 N. Cole Rd, Boise, ID 83711-1095

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lwk P C — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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