DR. JESSE PETER BLATTSTEIN O.D. NPI 1487631024

NPI Information

NPI: 1487631024
Provider Name: DR. JESSE PETER BLATTSTEIN, O.D.
Classification: Optometrist - 152WX0102X
Specialization: Occupational Vision
Entity Type: Individual
PECOS Registration: Yes
Address: 371 STATE ROUTE 17M
SUITE 3
MONROE, NY
ZIP 10950
Phone: (845) 782-3937

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NPI Details

DR. Jesse Peter Blattstein, O.D. is an occupational vision optometrist in Monroe, NY with 34 years of experience. The provider is optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. DR. Jesse Peter Blattstein, O.D. NPI is 1487631024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:1992

The provider's business location address is:

371 STATE ROUTE 17M
SUITE 3
MONROE, NY
ZIP 10950-434
Phone: (845) 782-3937

The NPI 1487631024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient problem focused exam of visual system (HCPCS:92012)
New patient problem focused exam of visual system (HCPCS:92002)

The enumeration date for this NPI number is 12/25/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		VUT005307	NEW YORK	No
2	152WC0802X	Optometrist	Corneal and Contact Management	VUT005307	NEW YORK	No
3	152WP0200X	Optometrist	Pediatrics	VUT005307	NEW YORK	No
4	152WS0006X	Optometrist	Sports Vision	VUT005307	NEW YORK	No
5	152WX0102X	Optometrist	Occupational Vision	V	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01569846	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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