Individual provider Active NPI

Erica Blehl, O.D.

  • Optometrist
  • Nanuet, NY
National Provider Identifier
1487867453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005709 Issued in NY
Practice address
164 E Route 59
Nanuet, NY 10954-2910
Phone
(845) 623-8074
Fax
(845) 623-4028
NPI assigned
May 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005709 NY Primary

Addresses

Primary practice location

164 E Route 59
Nanuet, NY 10954-2910

Mailing address

553 Hague CT
Oradell, NJ 07649-1309
Phone (201) 265-2067

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
I20150723007919 NY Practitioner - Optometry 8527371251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005709NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Oct 1, 2014 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 1, 2014 Accepting new patients

Locations

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

130 N Route 303
Ste 6
West Nyack, NY 10994
Phone (845) 348-3236

Organizations & group practices 2

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487867453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HAGUE CT",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491309",
            "telephone_number": "201-265-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542910",
            "telephone_number": "845-623-8074",
            "fax_number": "845-623-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEHL",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.