Individual provider Active NPI

Arthur J Edelstein MD, M.D.

  • Vision Therapy Optometrist
  • Lynwood, CA
National Provider Identifier
1043256175
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
A40360 Issued in NY
Practice address
3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513
Phone
(310) 638-0402
Fax
(310) 638-5786
NPI assigned
Jun 20, 2006
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X A40360 NY Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513

Mailing address

3737 Martin Luther King Jr Blvd
#340
Lynwood, CA 90262-3513
Phone (310) 638-0402

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000426 CA Practitioner - Ophthalmology 0547458341

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3737 M L King Blvd
Suite 340
Lynwood, CA 90262

3737 Martin Luther King Jr Blvd
Suite 340
Lynwood, CA 90262-3519

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A40360NYMDVision Therapy Optometrist
18506CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur J Edelstein M D a Professional Corporation Vision Therapy CurrentSince Jan 1, 1973 Accepting new patients
Kenneth Cohn, M.D., a Medical Corporation Ophthalmology Current Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

11411 Brookshire Ave
Ste 506
Downey, CA 90241
Phone (562) 923-6256

3737 Martin Luther King Jr Blvd
Ste 340
Lynwood, CA 90262
Phone (310) 638-0402

3889 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 638-0402

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1043256175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "#340",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-638-0402",
            "fax_number": "310-638-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "#340",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-638-0402",
            "fax_number": "310-638-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN MD",
        "first_name": "ARTHUR",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "A40360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.