MEDICARE: DR. DOUGLAS WAYNE BLOSS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3922	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962538140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS WAYNE BLOSS O.D.

Provider Business Mailing Address
First Line	:	1421 GRANDVIEW AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2853
Country	:	US
Telephone Number	:	614-488-2020
Fax Number	:	614-488-0763

Provider Business Practice Location Address
First Line	:	1421 GRANDVIEW AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2853
Country	:	US
Telephone Number	:	614-488-2020
Fax Number	:	614-488-0763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396799391 — MARYELLEN SWARTZ LUEBBERS O.D.
Practice Location Address:

1421 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-488-2020
Practice Fax: 614-488-0763

1063467892 — DWB, INC
Practice Location Address:

1421 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-488-2020
Practice Fax: 614-488-0763

1659304947 — DR. JOHN P. MASZCZAK O.D.
Practice Location Address:

1421 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-488-2020
Practice Fax: 614-488-0763

1851749980 — DR. JANET MICHELLE HARAWA O.D.
Practice Location Address:

1421 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-488-2020
Practice Fax: 614-488-0763

1669980249 — DR. JORDAN THOMAS MEYER DC
Practice Location Address:

1409 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-401-6240
Practice Fax:

1730919366 — MEYER SPORTS THERAPY LLC
Practice Location Address:

1409 GRANDVIEW AVE
COLUMBUS, OH
43212-2853

Practice Phone: 614-401-6240
Practice Fax:

Directions to “ DR. DOUGLAS WAYNE BLOSS O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.