Charles A Blotnick, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9901116 Issued in NC

Practice address

2015 Randolph Rd
Suite 108
Charlotte, NC 28207-1200

Phone

(704) 334-2020

Fax

(704) 334-6175

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Vermont College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metrolina Eye Associates PLLCGroup PAC ID 7315908498, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.15 of 100Reported as group

Quality

100

Improvement activities

40

Cost

83.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cblotnick499448@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: cblotnick@metrolina.intellechartdirect.net

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.

• Metrolina Eye Associates, PLLC

  • Ophthalmology Physician
  • Monroe, NC
  • NPI 1700839305

  SC

  Medicare reassignment Care Compare group NPD
• Premier Surgery Center of the Carolinas, LLC

  • Ambulatory Surgical Clinic/Center
  • Indian Land, SC
  • NPI 1023839438

  Ophthalmology

  Medicare reassignment NPD
• Metrolina Eye Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Land, SC
  • NPI 1063896777
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1457320020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HUGH FOREST RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703446",
            "telephone_number": "704-334-2020",
            "fax_number": "704-334-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 RANDOLPH RD",
            "address_2": "SUITE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071200",
            "telephone_number": "704-334-2020",
            "fax_number": "704-334-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOTNICK",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9901116",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "21278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212781",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891229K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blooming You LLC
• Bloomwell Health LLC
• Blossom ABA Therapy NC
• Blossom Community Services
• Blossom Medical Transportation LLC
• Alexis Blount
• Kim A Blount, CCNS
• Jennifer Blowe
• Blowout Lounge LLC (Silent Moment Spa)
• Emily Jane Bludov, CRNA

• Ophthalmology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.