Blattstein, Jesse Peter

Blattstein, Jesse Peter is an individual health care provider with primary practice located at 371 State Route 17M Suite 3, Monroe NY 10950-3434. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Blattstein, Jesse Peter can be contacted via phone (845) 782-3937.

Contact Information

Primary practice address
371 State Route 17M Suite 3 Monroe NY 10950-3434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005307 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT005307 New York
Eye and Vision Services Providers / Pediatrics 152WP0200X VUT005307 New York
Eye and Vision Services Providers / Sports Vision 152WS0006X VUT005307 New York
Eye and Vision Services Providers / Occupational Vision 152WX0102X V New York

Profile Details

NPI number 1487631024
LBN Legal business name Blattstein, Jesse Peter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487631024 NPPES
New York MEDICAID 01569846

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