Active NPI
Jenna Blechman Blatt, O.D.
- Optometrist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5226
- Practice address
- 3015 Grand Ave
Miami, FL 33133-5144 - Phone
- (786) 216-7850
- NPI assigned
- Jun 1, 2016
- Last updated
- Oct 23, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5226 | FL | MD | Optometrist |
| TUV008666 | NY | MD | Optometrist |
| 10189TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Vision Associates | Optometrist | Current | Accepting new patients |
| DRS. Cukierman & Gomez, Inc | Optometrist | Current | Accepting new patients |
| DRS. Cukierman & Gomez, Inc | Optometrist | Current | Accepting new patients |
| Celina a Ruiz OD PA | Optometrist | Current | Accepting new patients |
| Sharpevision PLLC | Optometrist | Past | Accepting new patients |
| Sharpevision PLLC | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients | |
| Pediatric Ophthalmology P.C. | Past | 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.
-
- Optometrist
- New York, NY
- NPI 1306815683
-
- Optometrist
- Miami, FL
- NPI 1992394092
-
dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
-
dba Pediatric Eye MD
- Ophthalmology Physician
- Fresh Meadows, NY
- NPI 1942318563
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1295463990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.