Stephen L Rothbloom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1090 Issued in GA

Practice address

1655 Spring Road
Smyrna, GA 30080

Phone

(678) 842-9544

Fax

(678) 842-9291

NPI assigned

Jun 1, 2005

Last updated

May 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen Rothbloom OD, LLCGroup PAC ID 6103984752, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stephen Rothbloom OD, LLC

  • Optometrist
  • Smyrna, GA
  • NPI 1619124583
  Medicare reassignment Care Compare group NPD Authorized official
• Smyrna Eye Group, P.C.

  • Optometrist
  • Smyrna, GA
  • NPI 1124199534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1780686048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SPRING RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803774",
            "telephone_number": "678-842-9544",
            "fax_number": "678-842-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SPRING ROAD",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "678-842-9544",
            "fax_number": "678-842-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBLOOM",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "205228732",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "205228732",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "901090",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "205228732",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "205228732",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Rosa Rosario, DC
• Rose Briglevich, M.D., P.C.
• Michael Ananta Rosidivito, LMT
• Jamie Ross
• Philmaj'a Gianni Ross
• Keith T Rott, M.D.
• Dominique Cierra Rowe, WHNP-BC
• George Rowe, PSYO
• Tod Rubin, DO
• Kelsie Rushlow

• Optometrist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.

Verify at the official NPI Registry.