Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES M. CUMMINS O.D.
NPI 1396702296
Optometrist in Bloomfield, NJ

Q: What is Charles Cummins's NPI number?

The NPI number for Charles Cummins is 1396702296. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Charles Cummins's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Cummins was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2006PECOS Enrolled

1255 BROAD ST, BLOOMFIELD, NJ 07003(973) 338-7575(973) 338-5158 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles M. Cummins O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES M. CUMMINS O.D. (NPI 1396702296) is an individual optometrist in Bloomfield, New Jersey, licensed in New Jersey (270A00371900) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396702296

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameCHARLES M. CUMMINSCredential: O.D.

Location Address1255 BROAD STBloomfield, NJ 07003-3000

Mailing Address11103 West Ave, Suite 6San Antonio, TX 78213-1370 · (210) 524-6663 · Fax (210) 524-6587

Phone(973) 338-7575

Fax(973) 338-5158

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1396702296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NJ · 270A00371900

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1255 BROAD ST, Bloomfield, NJ 07003

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Other Identifiers 1

Medicaid1779605NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles M. Cummins O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCESCA A LUBRANO PA-C

Physician Assistant

1255 BROAD ST
BLOOMFIELD, NJ 07003

Essex County (201) 833-9500

LAUREN ANGIOLETTI M.D.

Ophthalmology

1255 BROAD ST, STE 104
BLOOMFIELD, NJ 07003

Essex County (973) 707-5632

MR. JOSE PEREZ MA, LMFT

Counselor (Mental Health)

1255 BROAD ST, SUITE 204
BLOOMFIELD, NJ 07003

Essex County (973) 771-9000

MARIA TURIZO MD

Pediatrics

1255 BROAD ST, SUITE 105
BLOOMFIELD, NJ 07003

Essex County (973) 233-5494

BLOOMFIELD SPINE & REHABILITATION

Chiropractor (Rehabilitation)

1255 BROAD ST, SUITE 207
BLOOMFIELD, NJ 07003

Essex County (973) 233-7104

MRS. GINA M BARRA MA, LPC

Counselor (Professional)

1255 BROAD ST, SUITE 204
BLOOMFIELD, NJ 07003

Essex County (973) 771-9000

ANURADHA P RANA OD

Optometrist

1255 BROAD ST
BLOOMFIELD, NJ 07003

Essex County (973) 338-7575

TATIANA DEA APN

Nurse Practitioner (Family)

1255 BROAD ST
BLOOMFIELD, NJ 07003

Essex County (201) 833-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Cummins's NPI number?

The NPI number for Charles Cummins is 1396702296. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Charles Cummins located?

Charles Cummins practices at 1255 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 338-7575.

What is Charles Cummins's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Charles Cummins enrolled in Medicare?

Yes. Charles Cummins is registered in the Medicare PECOS enrollment system.

What insurance does Charles Cummins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Charles Cummins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Cummins was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.