DR. STEPHEN L ROTHBLOOM (O.D.) – Optometrist, NPI 1780686048

DR. STEPHEN L ROTHBLOOM (O.D.) is a healthcare provider. based in Smyrna, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1090 (GA). The NPI Number for DR. STEPHEN L ROTHBLOOM (O.D.) is 1780686048

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN L ROTHBLOOM (O.D.)
NPI
1780686048
Phone
(678) 842-9544
Address
1655 SPRING RD SE
Enumeration Date
1 June 2005
Last Update Date
2 April 2008

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6788429544
Graduation Year
1985 (41 years ago)
PAC ID
7113020728
Group Practice PAC ID
6103984752
Professional Enrollment ID
I20070319000536
Address ID
GA300803774SM1655XSERD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. STEPHEN L ROTHBLOOM (O.D.)

  • Spring Road Southeast, Smyrna, Cobb, Georgia, 30339, United States

    SMYRNA, GA 300803774

    Phone: (678) 842-9544

    Fax: (678) 842-9291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,246.

Total Amount is formed as General ($1,246) + Research ($0) + Ownership ($0) = $1,246.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($478).

Total Amount

$1,246

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070319000536IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9384$0
99213Established patient office or other outpatient visit, 20-29 minutes8854$0
92250Photography of the retina6755$0
92004New patient complete exam of visual system1919$0
92083Exam of visual field with extended testing1414$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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Provider's Procedures

DR. STEPHEN L ROTHBLOOM (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92012Eye and medical examination for diagnosis and treatment, established patient2421
OPTOMETRYGA92083Measurement of field of vision during daylight conditions2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103984752View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

What is the registry number for DR. STEPHEN L ROTHBLOOM (O.D.)?
The registry entry for DR. STEPHEN L ROTHBLOOM (O.D.) shows NPI 1780686048.
Does the public listing show DR. STEPHEN L ROTHBLOOM (O.D.) as active?
DR. STEPHEN L ROTHBLOOM (O.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. STEPHEN L ROTHBLOOM (O.D.)'s specialty?
The extract shows Optometrist for DR. STEPHEN L ROTHBLOOM (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. STEPHEN L ROTHBLOOM (O.D.)?
DR. STEPHEN L ROTHBLOOM (O.D.) is associated with Smyrna, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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