Individual provider Active NPI

Cory Seitz, OD

  • Optometrist
  • Heber City, UT
National Provider Identifier
1033778014
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11325020-9934 Issued in UT
Practice address
37 E 100 N
Heber City, UT 84032-1700
Phone
(435) 654-1863
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11325020-9934 UT Primary

Addresses

Primary practice location

37 E 100 N
Heber City, UT 84032-1700

Mailing address

1478 S Red Filly Rd
Heber City, UT 84032-1332
Phone (435) 219-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20190726001789 UT Practitioner - Optometry 4183950264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Cory B Seitz OD PCGroup PAC ID 3274943857, 2 clinicians

Practice addresses (Care Compare)

345 W 600
Suite 300
Heber City, UT 84032-2268
Phone (435) 654-1863

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Bradley B. Rounds, PC Optometrist CurrentSince Sep 20, 2020 Accepting new patients
Dr. Cory B. Seitz O.D.,P.C. Optometrist CurrentSince Apr 24, 2020 Accepting new patients
Hidden Valley Eye Care, Inc. CurrentSince Jul 3, 2019 Accepting new patients

Locations

1147 E Draper Pkwy
Draper, UT 84020
Phone (714) 334-1664

345 W 600 S
Ste 300
Heber City, UT 84032
Phone (435) 654-1863

37 E 100 N
Heber City, UT 84032
Phone (435) 219-0033

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1033778014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 S RED FILLY RD",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321332",
            "telephone_number": "435-219-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E 100 N",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321700",
            "telephone_number": "435-654-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "CORY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "11325020-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.