Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bonnie D. Rosenberg, OD

Individual provider Optometrist · NPI 1861915225

Dr. Bonnie D. Rosenberg, OD is an Optometry in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Santa Monica Medical Institute Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California, New Jersey and New York.

Years since qualifying
9
Licensed in
CA, NJ, NY
In the registry since
2017
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

621 S Western Ave Ste 214
Los Angeles, CA 90005-3042
Phone: (213) 389-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT35656-TLG (CA)
Optometrist Taxonomy 152W00000X · Licence 27OM00146800 (NJ)
Optometrist Taxonomy 152W00000X · Licence TUV008859 (NY)
Optometrist Taxonomy 152W00000X · Licence 27OA00679400 (NJ)

Record details

NPI number1861915225
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Santa Monica Medical Institute Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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