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STEPHEN ROTHBLOOM OD, LLC
NPI 1619124583
Optometrist in Smyrna, GA

Active since August 22, 2008
1655 SPRING RD SE, SMYRNA, GA 30080(678) 842-9544(678) 842-9291 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen Rothbloom Od, Llc NPPES

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

STEPHEN ROTHBLOOM OD, LLC (NPI 1619124583) is a healthcare organization registered as an optometrist in Smyrna, Georgia and active in the NPI registry since August 2008. The organization lists Stephen Rothbloom, Owner, as its authorized official.

NPPES Registry Identity

NPI1619124583
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSTEPHEN ROTHBLOOM OD, LLC
Location Address1655 SPRING RD SESmyrna, GA 30080-3774
Mailing Address1655 Spring Rd SeSmyrna, GA 30080-3774 · (678) 842-9544 · Fax (678) 842-9291
Phone(678) 842-9544
Fax(678) 842-9291
Organization SubpartNo
Authorized OfficialStephen RothbloomOwner · (678) 842-9544
Enumeration DateAugust 22, 2008
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1619124583 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 GA · GA 1090
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.
1655 SPRING RD SE, Smyrna, GA 30080
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Rothbloom Od, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Stephen Rothbloom Od, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Marissa Thornton, OD
Optometry
NPI 1245120575
1655 SPRING RD SE
Smyrna, GA 30080
(678) 842-9544
✔ PECOSSame address
Stephen Rothbloom, O.D.
Optometry
NPI 1780686048
1655 SPRING ROAD
Smyrna, GA 30080
(678) 842-9544
✔ PECOS✔ Accepts MedicareSame address
Aaron Gilliam, OD
Optometry
NPI 1457881633
1655 SPRING RD SE
Smyrna, GA 30080
(678) 842-9544
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephen Rothbloom Od, LLC's NPI number?

The NPI number for Stephen Rothbloom Od, LLC is 1619124583. It was assigned to this organization in the NPPES registry on August 22, 2008.

Where is Stephen Rothbloom Od, LLC located?

Stephen Rothbloom Od, LLC is located at 1655 Spring Rd SE, Smyrna, GA 30080. The listed phone number is (678) 842-9544.

What is Stephen Rothbloom Od, LLC's specialty?

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

Is Stephen Rothbloom Od, LLC enrolled in Medicare?

Yes. Stephen Rothbloom Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen Rothbloom Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Stephen Rothbloom Od, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stephen Rothbloom Od, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Stephen Rothbloom Od, LLC 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 Stephen Rothbloom Od, LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.