Individual provider Active NPI

Marc Bloomenstein, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1568428910
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
884 Issued in AZ
Practice address
8416 E Shea Blvd # C-101
Scottsdale, AZ 85260-6666
Phone
(480) 483-3937
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 884 AZ
Optometrist 152W00000X 884 AZ Primary

Addresses

Primary practice location

8416 E Shea Blvd # C-101
Scottsdale, AZ 85260-6666

Mailing address

8416 E Shea Blvd # C-101
Scottsdale, AZ 85260-6666
Phone (480) 483-3937

Other identifiers 1

IdentifierTypeStateIssuer
86-0884211OtherTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Scottsdale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040507000301 AZ Practitioner - Optometry 2163411026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay L Schwartz D O P CGroup PAC ID 0143285841, 5 clinicians

Practice addresses (Care Compare)

3130 E Baseline Rd
Suite 101
Mesa, AZ 85204-7290
Phone (480) 483-3937

8416 E Shea Blvd
Suite C101
Scottsdale, AZ 85260-6666
Phone (480) 483-3937

Merit-based Incentive Payment System (MIPS)

Final score
51.63 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884AZMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay L Schwartz D O P C CurrentSince Jun 29, 2011 Accepting new patients
Barnet Dulaney Perkins Eye Center Past Accepting new patients

Locations

18275 N 59th Ave
Ste B108
Glendale, AZ 85308
Phone (480) 483-3937

3130 E Baseline Rd
Ste 101
Mesa, AZ 85204
Phone (480) 483-3937

8416 E Shea Blvd
Ste C101
Scottsdale, AZ 85260
Phone (480) 483-3937

Interoperability endpoints

  • Direct secure messaging: mbloomenstein@schwartzlaser.direct.eyemdemr.com

Organizations & group practices 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1568428910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD # C-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-483-3937",
            "fax_number": "480-483-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD # C-101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-483-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMENSTEIN",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "884",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "86-0884211",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Scottsdale",
            "affiliation": "N",
            "endpointDescription": "Schwartz Laser",
            "address_1": "8416 E Shea Blvd # C-101",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852606666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.