Individual provider Active NPI

Brian D. Rosenblatt, O.D.

  • Optometrist
  • North Charleston, SC
National Provider Identifier
1306885827
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2386 Issued in SC
Practice address
7643 Rivers Ave Ste D7643
North Charleston, SC 29406-4073
Phone
(843) 797-0737
Fax
(843) 797-7098
NPI assigned
Jun 6, 2006
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2386 SC Primary

Addresses

Primary practice location

7643 Rivers Ave Ste D7643
North Charleston, SC 29406-4073

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230808004014 SC Practitioner - Optometry 0446315717 Reassigns benefits to 1 organization
I20260331002242 FL Practitioner - Optometry 0446315717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Eye Center IncGroup PAC ID 7719884576, 8 clinicians

Practice addresses (Care Compare)

1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone (803) 327-2001

665 S Apollo Blvd
Melbourne, FL 32901-1485
Phone (321) 821-7446

709 Long Point Rd
Suite C
Mt Pleasant, SC 29464-8287
Phone (843) 849-0800

7643 Rivers Ave
Suite D
North Charleston, SC 29406-4073
Phone (843) 797-0731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2386SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Brevard Eye Center, Inc Past Accepting new patients

Locations

88 Folly Road Blvd
Charleston, SC 29407
Phone (843) 573-9944

1774 Paxville Hwy
Manning, SC 29102
Phone (803) 435-2494

709 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 654-1700

7643 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 797-0731

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1306885827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 RIVERS AVE STE D7643",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064073",
            "telephone_number": "843-797-0737",
            "fax_number": "843-797-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "BRIAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.