Active NPI
Charlotte Rosenblum, O.D.
- Optometrist
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 887 | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levine, Robert E. MD, a Medical Corporation | Current | Accepting new patients | |
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Mercy Eye Care Medical Group Inc | Current | Accepting new patients | |
| Mercy Eye Care Medical Group Inc | Current | Accepting new patients | |
| Mercy Eye Care Medical Group Inc | Current | 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
- 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.
-
- Ophthalmology Physician
- Montebello, CA
- NPI 1154495307
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1245534254
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1609948371
-
- Ophthalmology Physician
- Whittier, CA
- NPI 1982926531
-
dba West Hollywood Optometric Center
- Optometrist
- West Hollywood, CA
- NPI 1861800997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.