Individual provider Active NPI

Jesse Peter Blattstein, O.D.

  • Occupational Vision Optometrist
  • Monroe, NY
National Provider Identifier
1487631024
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
V Issued in NY
Practice address
371 State Route 17M
Suite 3
Monroe, NY 10950-3434
Phone
(845) 782-3937
NPI assigned
Dec 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005307 NY
Corneal and Contact Management Optometrist 152WC0802X VUT005307 NY
Pediatric Optometrist 152WP0200X VUT005307 NY
Sports Vision Optometrist 152WS0006X VUT005307 NY
Occupational Vision Optometrist 152WX0102X V NY Primary

Addresses

Primary practice location

371 State Route 17M
Suite 3
Monroe, NY 10950-3434

Mailing address

21 Arlington Dr
Harriman, NY 10926-3810
Phone (845) 238-3441

Other identifiers 1

IdentifierTypeStateIssuer
01569846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000174 NY Practitioner - Optometry 1850331521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite IncGroup PAC ID 0749404382, 6 clinicians

Practice addresses (Care Compare)

134 Great E Neck Rd
West Babylon, NY 11704-8027
Phone (631) 422-4800

26 Cass St
Westfield, NY 14787-1113
Phone (716) 326-4646

7000 Collamer Rd
East Syracuse, NY 13057-9764
Phone (315) 656-7218

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
VUT005307NYMDPediatric Optometrist
VNYMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Empire Vision Center, Inc CurrentSince Dec 28, 2015 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Dec 28, 2015 Accepting new patients
William Butler Corp Optometrist PastSince Jul 1, 2012 Accepting new patients
Mid-Hudson Optometric Associates, P.C. Optometrist Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

25301 Rockaway Blvd
Rosedale, NY 11422
Phone (516) 569-2750

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

4109 W Genesee St
Ste 100
Syracuse, NY 13219
Phone (315) 488-2020

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487631024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ARLINGTON DR",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263810",
            "telephone_number": "845-238-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 STATE ROUTE 17M",
            "address_2": "SUITE 3",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503434",
            "telephone_number": "845-782-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTSTEIN",
        "first_name": "JESSE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005307",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "VUT005307",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "VUT005307",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NY",
            "license": "VUT005307",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01569846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.