Individual provider Active NPI

Michelle Rosenblatt, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1942404488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9039T Issued in CA
Practice address
2404 Madison Ave
San Diego, CA 92116-2920
Phone
(619) 291-3816
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9039T CA Primary

Addresses

Primary practice location

2404 Madison Ave
San Diego, CA 92116-2920

Mailing address

5142 Pearlman Way
San Diego, CA 92130-3714
Phone (858) 755-5412

Other names 1

  • Mrs. Michelle Rosenblatt Benatar Other name

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
I20220204000000 CA Practitioner - Optometry 8224421789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15706 Pomerado Rd
Suite 103
Poway, CA 92064-2032
Phone (858) 451-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9039TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Eye Center, Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
North County Eye Physicians, Inc CurrentSince Feb 1, 2022 Accepting new patients
Louis E Chesner OD Optimetric Corporation Optometrist PastSince Nov 7, 2018 Accepting new patients
Catherine Soriano OD, Inc PastSince Feb 1, 2022 Accepting new patients

Locations

225 E 2nd Ave
Ste 310
Escondido, CA 92025
Phone (760) 738-9985

15706 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 451-8600

Organizations & group practices 4

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942404488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 PEARLMAN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303714",
            "telephone_number": "858-755-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162920",
            "telephone_number": "619-291-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9039T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BENATAR",
            "middle_name": "ROSENBLATT",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.