NPIMap

Organization Active NPI

Teresa Blackstone OD PC

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1346570256
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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.NPI 1588736987
Title
President
Phone
(518) 580-9893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT004647 NY Primary

Addresses

Primary practice location

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

Mailing address

414 Maple Ave Ste 200
Saratoga Springs, NY 12866-5533
Phone (518) 597-0772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • 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.