Individual provider Active NPI

Jenna Blechman Blatt, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1700234754
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5226 Issued in FL
Practice address
3015 Grand Ave
Miami, FL 33133-5144
Phone
(786) 216-7850
NPI assigned
Jun 1, 2016
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5226 FL Primary
Optometrist 152W00000X TUV008666 NY
Optometrist 152W00000X 10189TG TX

Addresses

Primary practice location

3015 Grand Ave
Miami, FL 33133-5144

Mailing address

1116 NE 117TH St
Biscayne Park, FL 33161-6752
Phone (561) 702-1899

Other names 1

  • Jenna Renee Blechman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161208002238 FL Practitioner - Optometry 5597045591 Reassigns benefits to 1 organization
I20190313002122 NY Practitioner - Optometry 5597045591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5226FLMDOptometrist
TUV008666NYMDOptometrist
10189TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Vision Associates Optometrist CurrentSince Feb 4, 2019 Accepting new patients
DRS. Cukierman & Gomez, Inc Optometrist Current Accepting new patients
DRS. Cukierman & Gomez, Inc Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Celina a Ruiz OD PA Optometrist CurrentSince Oct 29, 2023 Accepting new patients
Sharpevision PLLC Optometrist PastSince Aug 1, 2021 Accepting new patients
Sharpevision PLLC PastSince Aug 1, 2021 Accepting new patients
University of Miami Past Accepting new patients
Pediatric Ophthalmology P.C. PastSince May 1, 2016 Accepting new patients

Locations

21673 State Road 7
Boca Raton, FL 33428
Phone (561) 470-2310

3015 Grand Ave
Miami, FL 33133
Phone (786) 216-7850

246 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 442-4602

160 E 56th St
Fl 7
New York, NY 10022
Phone (212) 688-4277

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1700234754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 NE 117TH ST",
            "city": "BISCAYNE PARK",
            "state": "FL",
            "postal_code": "331616752",
            "telephone_number": "561-702-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 GRAND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335144",
            "telephone_number": "786-216-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "JENNA",
        "middle_name": "BLECHMAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5226",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008666",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10189TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BLECHMAN",
            "middle_name": "RENEE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.