Individual provider Active NPI

David Alexander Bloch, OD

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1710965140
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9207T Issued in CA
Practice address
2814 Roosevelt St
Carlsbad, CA 92008-1619
Phone
(760) 730-3733
Fax
(760) 730-3785
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9207T CA Primary

Addresses

Primary practice location

2814 Roosevelt St
Carlsbad, CA 92008-1619

Mailing address

2814 Roosevelt St
Carlsbad, CA 92008-1619
Phone (760) 730-3733

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
I20071012000290 CA Practitioner - Optometry 1951497585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2814 Roosevelt St
Carlsbad, CA 92008-1619
Phone (760) 730-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9207TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Bloch OD Professional Corporation Optometrist CurrentSince Jul 2, 2008 Accepting new patients
Pearle Visioncare Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients

Locations

2814 Roosevelt St
Carlsbad, CA 92008
Phone (760) 730-3733

Organizations & group practices 7

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1710965140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 ROOSEVELT ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081619",
            "telephone_number": "760-730-3733",
            "fax_number": "760-730-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 ROOSEVELT ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081619",
            "telephone_number": "760-730-3733",
            "fax_number": "760-730-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9207T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.