Blackstone Optometry
Blackstone Optometry is a healthcare organization registered as Optometrist in Los Angeles, CA, holding Type 2 (organization) NPI 1205174828 since 2013. The authorized official on file is Simon Cheng, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205174828 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blackstone Optometry |
| Practice address | 2109 HILLHURST AVE, Los Angeles, CA, 90027 |
| Phone | 3236602020 |
| Fax | 3236602888 |
| Enumeration date | 2013-01-17 |
| Last updated in NPPES | 2013-01-17 |
Authorized official
| Name | Simon Cheng |
|---|---|
| Title | Owner |
| Phone | 3236602020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 12032T | CA |
Copy-ready billing details
Provider: Blackstone Optometry NPI: 1205174828 Taxonomy: 152W00000X (Optometrist) Address: 2109 HILLHURST AVE, Los Angeles, CA, 90027
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396887410 | Simon Cheng | Individual | Optometrist | Los Angeles, CA |
| 1528410834 | Krista Roden | Individual | Optometrist | Los Angeles, CA |
| 1518709849 | Ashley Feng | Individual | Optometrist | Los Angeles, CA |
Verify this record
Cross-check NPI 1205174828 against the authoritative CMS record: view Blackstone Optometry on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Blackstone Optometry?
Who is the authorized official for Blackstone Optometry?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-01-17.