Teresa L Blackstone, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004647 Issued in NY

Practice address

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

Phone

(518) 587-0772

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.28 of 100Reported as group

Quality

88.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drtblackstone@eyesny.medentdirect.com

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

• Saratoga Vitreo-Retinal Ophthalmology, PLLC

  • Specialist
  • Malta, NY
  • NPI 1316055940
  Medicare reassignment Care Compare group NPD
• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1588736987",
    "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": "518-587-0772"
        },
        {
            "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": "518-587-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "TERESA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01419649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Bishop
• Marie Bitar, PA
• BJ'S Wholesale Club Inc.
• Vivian Black, CCC SLP
• Colette Collins Blackington, FNP C
• Deborah L Blood, RD, CDE
• Robin J Blostein, LCSWR
• Timothy Gerard Board, PA
• Constance A. Boardman, LCSW-R
• Katja Elizabeth Bock, MD

• 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 Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.