Individual
DR. JESSE PETER BLATTSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
371 STATE ROUTE 17M, SUITE 3, MONROE, NY 10950-3434
(845) 782-3937
Mailing address
21 ARLINGTON DR, HARRIMAN, NY 10926-3810
(845) 238-3441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
VUT005307
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT005307
NY
152WP0200X
Pediatric Optometrist
VUT005307
NY
152WS0006X
Sports Vision Optometrist
VUT005307
NY
152WX0102X
Occupational Vision Optometrist
Primary
V
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569846
—
NY
Enumeration date
12/25/2005
Last updated
09/11/2025
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