Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679675193 Deactivated / Inactive NPI Female Practitioner

Dr. Cheryl T. Bloom , OD

Optometrist • Fairfax, VA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cheryl Bloom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 04, 2006
NPI Deactivation Date April 26, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Cheryl Bloom, OD was a registered Optometrist practicing in Fairfax, VA. Throughout an active medical career spanning 16 years, Dr. Bloom provided care at the practice location at 9665 MAIN ST until profile deactivation on 2022-04-26.

Practice Location & Contact Primary Location

Practice Address

9665 Main St

Fairfax, VA 220313739

Telephone 7039782020
Fax 7039786454
Associated Practice Facility / Clinic
🏢 Dean A. Wright O.d. Facility NPI 1003995432

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
46 Specialists

Practicing in Fairfax, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618-000012

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1679662340

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
⚠️
NPI Profile Deactivated April 26, 2022

Record deactivated on April 26, 2022

📍
Updated Practice Location November 20, 2018

Registered at 9029 ASHMEADE DR, FAIRFAX, VA 220321438 (Tel: 7037640611)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9665 MAIN ST, FAIRFAX, VA 220313739 (Tel: 7039782020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9029 ASHMEADE DR, FAIRFAX, VA 220321438 (Tel: 7037640611)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHERYL BLOOM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #0618-000012 in VA)

🟢
Initial NPI Registration & Enumeration September 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Cheryl Bloom. Be the first to share your experience!

Sign in to leave a review for Dr. Cheryl Bloom

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679675193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2006
Last Update: July 08, 2007
Deactivation Date: April 26, 2022

Mailing Address

9029 Ashmeade Dr

Fairfax, VA 220321438

Phone: 7037640611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.