Individual provider Active NPI

Paul L Sonenblum, O.D.

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1477532661
Registry record updated Feb 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA587100 Issued in NJ
Practice address
500 W Main St
Freehold, NJ 07728-2500
Phone
(732) 462-8707
Fax
(732) 780-3699
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA587100 NJ Primary
Optometrist 152W00000X TO126400 NJ
Optometrist 152W00000X OM0012300 NJ

Addresses

Primary practice location

500 W Main St
Freehold, NJ 07728-2500

Mailing address

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040226000279 NJ Practitioner - Optometry 3476449497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 882-8833

455 Route 9
Englishtown, NJ 07726-8274
Phone (732) 591-2200

500 W Main St
Freehold, NJ 07728-2500
Phone (732) 462-8707

515 Brick Blvd
Brick, NJ 08723-6009
Phone (732) 920-3800

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA587100NJMDOptometrist
OM0012300NJMDOptometrist
TO126400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Associated Retinal Consultants LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Millennium Eye Care, LLC Current Accepting new patients
Optometric Physicians of Eatontown LLC Optometrist Past Accepting new patients

Locations

500 W Main St
Freehold, NJ 07728
Phone (732) 462-8707

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

Interoperability endpoints

  • Direct secure messaging: psonenblum@mec1089.srs-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391212800000",
    "number": "1477532661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONENBLUM",
        "first_name": "PAUL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA587100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TO126400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OM0012300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.