Individual provider Active NPI

Missy A Blowers, O.D.

  • Optometrist
  • Selkirk, NY
National Provider Identifier
1720018872
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005693-1 Issued in NY
Practice address
122 Trinity PL
Selkirk, NY 12158-8706
Phone
(518) 459-5397
NPI assigned
Jul 4, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00419426OtherNYRAILROAD MEDICARE

Other names 1

  • Dr. Missy A Blowers Summerfield Other name

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
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

LicenseStateTypeSpecialty
TUV005693-1NYMDOptometrist
005693NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Past Accepting new patients
Sunnyview Hospital and Rehabilitation Center Past Accepting new patients
New York Optometry Professional PLLC Optometrist PastSince Feb 6, 2025 Accepting new patients
Buenau's Opticians Inc PastSince Jan 1, 2010 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.

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

Verify at the official NPI Registry.