Active NPI
Marc Bloomenstein, OD
- Optometrist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 884
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-0884211 | Other | TAX ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 72.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 884 | AZ | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay L Schwartz D O P C | Current | 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
- 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.
-
dba Schwartz Laser Eye Center
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1366497711
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1528286994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.