Active NPI
Missy A Blowers, O.D.
- Optometrist
- Selkirk, NY
National Provider Identifier
1720018872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005693-1
- Practice address
- 122 Trinity PL
Selkirk, NY 12158-8706 - Phone
- (518) 459-5397
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005693-1 | NY | Primary |
Addresses
Primary practice location
122 Trinity PL
Selkirk, NY 12158-8706
Mailing address
122 Trinity PL
Selkirk, NY 12158-8706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00419426 | Other | NY | RAILROAD MEDICARE |
Other names 1
- Dr. Missy A Blowers Summerfield
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040423000433 | NY | Practitioner - Optometry | 8022004134 | Practice locations: Scotia, NY; Troy, NY; Schenectady, NY; Niskayuna, NY; Guilderland, NY; Delmar, NY; E Greenbush, NY; Albany, NY… |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005693-1 | NY | MD | Optometrist |
| 005693 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Health PC | Past | Accepting new patients | |
| Sunnyview Hospital and Rehabilitation Center | Past | Accepting new patients | |
| New York Optometry Professional PLLC | Optometrist | Past | Accepting new patients |
| Buenau's Opticians Inc | Past | Accepting new patients | |
| Pine Bush Mental Health, LLP | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Delmar, NY
- NPI 1659425650
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
-
- Optometrist
- Sidney, NY
- NPI 1598470544
-
- Clinical Psychologist
- Albany, NY
- NPI 1962572362
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1720018872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 TRINITY PL",
"city": "SELKIRK",
"state": "NY",
"postal_code": "121588706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 TRINITY PL",
"city": "SELKIRK",
"state": "NY",
"postal_code": "121588706",
"telephone_number": "518-459-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOWERS",
"first_name": "MISSY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005693-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00419426",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MISSY",
"last_name": "BLOWERS SUMMERFIELD",
"middle_name": "A",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Selkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.