Individual provider Active NPI

Charlotte Rosenblum, O.D.

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1629523899
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
887 Issued in NV
Practice address
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(323) 610-1753
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 887 NV Primary

Addresses

Primary practice location

6900 Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

6900 Pecos Rd
North Las Vegas, NV 89086-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171020002723 CA Practitioner - Optometry 7113293051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 3400
Los Angeles, CA 90033-2469
Phone (844) 211-5462

1717 W Beverly Blvd
Suite a
Montebello, CA 90640-3971
Phone (562) 866-1803

5750 Downey Ave
Suite 101
Lakewood, CA 90712-1536
Phone (844) 211-5462

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887NVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Levine, Robert E. MD, a Medical Corporation CurrentSince Sep 6, 2017 Accepting new patients
Total Vision PC Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Mercy Eye Care Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Mercy Eye Care Medical Group Inc Current Accepting new patients
Mercy Eye Care Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients

Locations

201 S Alvarado St
Ste 500
Los Angeles, CA 90057
Phone (213) 413-7300

955 Carrillo Dr
Ste 105
Los Angeles, CA 90048
Phone (323) 332-9871

1700 E Cesar E Chavez Ave
Ste 3400
Los Angeles, CA 90033
Phone (323) 526-7273

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1717 W Beverly Blvd
Ste A
Montebello, CA 90640
Phone (323) 724-1075

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_MEC

Organizations & group practices 6

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1629523899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "323-610-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "CHARLOTTE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.