Organization Active NPI

Blackmer Family Eyewear

  • Eyewear Supplier
  • Syracuse, NY
National Provider Identifier
1376908095
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
55 006556 Issued in NY
Legal business name
BLACKMER FAMILY EYEWEAR
Practice address
4609 W Genesee St
Syracuse, NY 13219-1733
Phone
(315) 345-8004
Fax
(315) 295-2617
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Mr. Han Song BlackmerNPI 1376916205
Title
Licensed Optician/Owner
Phone
(315) 857-5402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 55 006556 NY Primary

Addresses

Primary practice location

4609 W Genesee St
Syracuse, NY 13219-1733

Mailing address

4609 W Genesee St
Syracuse, NY 13219-1733
Phone (315) 345-8004

National Provider Directory

National Provider Directory

Locations

9519 Brewerton Rd
Ste 119
Brewerton, NY 13029
Phone (315) 857-5402

4609 W Genesee St
Syracuse, NY 13219
Phone (315) 345-8004

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1376908095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191733",
            "telephone_number": "315-345-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191733",
            "telephone_number": "315-345-8004",
            "fax_number": "315-295-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMER FAMILY EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACKMER",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "SONG",
        "authorized_official_title_or_position": "LICENSED OPTICIAN/OWNER",
        "authorized_official_telephone_number": "315-857-5402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "55 006556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.