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
Phone: (845) 782-3937
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487631024 | NPPES |
New York | MEDICAID | 01569846 |
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