Teresa Blackstone OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004647 Issued in NY

Legal business name

TERESA BLACKSTONE OD PC

Practice address

414 Maple Ave Ste 200
Saratoga Springs, NY 12866-5533

Phone

(518) 597-0772

Fax

(518) 587-8749

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Teresa L Blackstone, O.D.

Title

President

Phone

(518) 580-9893

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey T. Paul, M.D.

  • Specialist
  • Saratoga Springs, NY
  • NPI 1285779900
  NPD (past)
• Gregory Leonard Pinto, M.D.

  • Specialist
  • Saratoga Springs, NY
  • NPI 1316082068
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1346570256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665533",
            "telephone_number": "518-597-0772",
            "fax_number": "518-587-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 200",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665533",
            "telephone_number": "518-597-0772",
            "fax_number": "518-587-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA BLACKSTONE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-580-9893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01419649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haiyang Tao, M.D.
• Kim M Taormina, MSED, LMHC
• Michelle Tarte
• Rick David Teetz, MD
• Cynthia L Teplitzky, LCSW
• Joanne L Terwilliger
• Colleen Mary Tessier, OTR
• Michelle Amy Frollo Tetu, PA
• Shaili Thakar, MD
• Joan Thalheimer, LHMC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.