Individual provider Active NPI

Michael Paul Rosenblatt, O.D.

  • Corneal and Contact Management Optometrist
  • Washington, DC
National Provider Identifier
1912972332
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OP653 Issued in DC
Practice address
900 17TH St NW
Suite 400
Washington, DC 20006-2501
Phone
(202) 331-7566
Fax
(202) 331-8533
NPI assigned
Feb 20, 2006
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OP653 DC Primary

Addresses

Primary practice location

900 17TH St NW
Suite 400
Washington, DC 20006-2501

Mailing address

900 17TH St NW
Suite 400
Washington, DC 20006-2501
Phone (202) 331-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090710000505 DC Practitioner - Optometry 0345392007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Eye Doctors PCGroup PAC ID 8325120207, 2 clinicians

Practice addresses (Care Compare)

900 17TH St NW
Suite 400
Washington, DC 20006-2507
Phone (202) 331-7566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1912972332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 17TH ST NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062501",
            "telephone_number": "202-331-7566",
            "fax_number": "202-331-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST NW",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200062501",
            "telephone_number": "202-331-7566",
            "fax_number": "202-331-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "DC",
            "license": "OP653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.