Bonnie D. Rosenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35656-TLG Issued in CA

Practice address

621 S Western Ave Ste 214
Los Angeles, CA 90005-3042

Phone

(213) 389-1001

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Monica Medical Institute IncGroup PAC ID 4789663048, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.51 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: brosenberg@eyekraftersmedical.eyefinity-direct.com
• Direct secure messaging: brosenberg@smemg.intellechartdirect.net

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.

• Santa Monica Medical Institute Inc

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1538351283
  Medicare reassignment Care Compare group NPD
• Boaz Eyewear Opt,Inc

  • Optician
  • Los Angeles, CA
  • NPI 1881330876
  NPD
• US Visionmed Partners Optometry of New Jersey LLC

  • Ophthalmology Physician
  • South Plainfield, NJ
  • NPI 1649006198
  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1861915225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642761",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900648258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S WESTERN AVE STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053042",
            "telephone_number": "213-389-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BONNIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00146800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008859",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35656-TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00679400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosenberg Plastic Surgery, P.C.
• Alex Rosenberg, MD
• Benjamin Rosenberg
• Benjamin Rosenberg, DDS
• Beth L. Rosenberg, LMFT
• Cindy Rosenberg, L.AC.
• Dafna Rosenberg
• Elana S Rosenberg, L.AC.
• Elizabeth E Rosenberg, O.D.
• Gary A. Rosenberg, MD

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.