Justine Blumenstock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35591-TLG Issued in CA

Practice address

8312 Lake Murray Blvd Ste C
San Diego, CA 92119-3435

Phone

(619) 464-2076

NPI assigned

Jun 6, 2022

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, CA2 enrollments

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 2

Specialty

Optometry

Education

University of Houston - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley J Blumenstock OD PCGroup PAC ID 3678836947, 3 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.

• Bradley J Blumenstock OD, PC

  dba Blumenstock Family Eyecare

  • Health Service Clinic/Center
  • Lincoln, NE
  • NPI 1962906537
  Medicare reassignment Care Compare group NPD
• Robert Gonzalez OD Inc

  dba Lake Murray Optometric Center

  • Optometrist
  • San Diego, CA
  • NPI 1346673795
  Medicare reassignment NPD
• Jeffrey a Hall O D Inc

  • Optometrist
  • San Diego, CA
  • NPI 1154552560
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1922737113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193435",
            "telephone_number": "619-464-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENSTOCK",
        "first_name": "JUSTINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1573",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35591-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhprit Mann Blumberg, PT, DPT
• Christina Mone Blume
• Liza Suzanne Blumenfeld
• Julia Nicole Blumenshine, IDC (HM USN)
• Fred Blumenstein, MD
• Jill Sara Blumenthal, M.D.
• Allure Blunt
• Blvd Centers, Inc
• Charles Boamah, RPH
• Lynelle M. Boamah, MD

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.
• 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.