Mary Chrissen Loy Blackman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009801 Issued in NY

Practice address

150 Broadway RM 1401
New York, NY 10038-4378

Phone

(212) 233-2344

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mb@aoeyecare.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associate Ophthalmologists PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1750427696
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1336828680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15074 GOETHALS AVE APT 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321144",
            "telephone_number": "917-691-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384378",
            "telephone_number": "212-233-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "MARY CHRISSEN LOY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Blackman
• Caroline Ann Blackman, MD
• Emma Sarah Blackman, LCSW
• Latoya Blackman, RN
• Marsha T Blackman, CASAC-T
• Kristen Blackmon
• Shane Anthony Blackmore, MD
• Erica Blacksburg, MS, RD, CDN
• Zoe Blacksin, MD
• Daryle Marc Blackstock, PHYSICIAN ASSISTANT

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.