Individual provider Active NPI

Cassidy Rose Compton, OD

  • Optometrist
  • Redondo Beach, CA
National Provider Identifier
1013803535
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35991 Issued in CA
Practice address
1509 Hawthorne Blvd Ste 105
Redondo Beach, CA 90278-3957
Phone
(714) 624-2672
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35991 CA Primary

Addresses

Primary practice location

1509 Hawthorne Blvd Ste 105
Redondo Beach, CA 90278-3957

Mailing address

5226 Marina Pacifica Dr S
Long Beach, CA 90803-3890
Phone (714) 624-2672

Other names 1

  • Dr. Rose Compton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902001057 CA Practitioner - Optometry 3577064468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scolinos Optometry IncGroup PAC ID 7315948239, 3 clinicians

Practice addresses (Care Compare)

236 N Market St
Inglewood, CA 90301-1217
Phone (310) 671-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35991CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scolinos Optometry Inc. Optometrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

236 N Market St
Inglewood, CA 90301
Phone (310) 671-2020

Interoperability endpoints

  • Direct secure messaging: rose.compton@uprisedirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1013803535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 MARINA PACIFICA DR S",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033890",
            "telephone_number": "714-624-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HAWTHORNE BLVD STE 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783957",
            "telephone_number": "714-624-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "CASSIDY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "COMPTON",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.