DR. PAUL L SONENBLUM O.D.
NPI 1477532661
Optometrist in Freehold, NJ

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
90.91/100
CMS Quality Rating
500 W MAIN ST, FREEHOLD, NJ 07728(732) 462-8707(732) 780-3699 Get Directions Write a Review

NPPES record last updated: February 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Paul L Sonenblum O.d. NPPES

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

DR. PAUL L SONENBLUM O.D. (NPI 1477532661) is an individual optometrist in Freehold, New Jersey, licensed in New Jersey (OA587100) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2003).

NPPES Registry Identity

NPI1477532661
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL L SONENBLUMCredential: O.D.
Location Address500 W MAIN STFreehold, NJ 07728-2500
Mailing Address500 W Main StFreehold, NJ 07728-2500 · (732) 462-8707 · Fax (732) 780-3699
Fax(732) 780-3699
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2003
Enumeration DateJanuary 16, 2006
Last NPPES UpdateFebruary 1, 2014
NPI 1477532661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NJ · OA587100 Licensed in NJ · OM0012300 Licensed in NJ · TO126400
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.

500 W MAIN ST, Freehold, NJ 07728

Other Identifiers 3

Medicare UPINU98161NJ
Medicare PIN075681V3XNJ
Medicare PIN075681V3VNJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul L Sonenblum O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476449497
PECOS Enrollment IDI20040226000279
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
141 services141 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services115 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
27 services27 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.43
Improvement Activities40
Cost70.77

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.

Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728
Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728
Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728
Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728
Optometrist
500 W MAIN ST
FREEHOLD, NJ 07728
Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728
Optometrist
500 W MAIN ST
FREEHOLD, NJ 07728
Ophthalmology
500 W MAIN ST
FREEHOLD, NJ 07728

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477532661, enumerated as an "individual" on January 16, 2006.

The provider is located at 500 W MAIN ST FREEHOLD, NJ 07728 and the phone number is (732) 462-8707.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.