Organization Active NPI

Seller Eye Clinic, PA

  • Optometrist
  • Hot Springs, AR
National Provider Identifier
1043372550
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2286 Issued in AR
Legal business name
SELLER EYE CLINIC, PA
Practice address
103 Ridgeway St
Hot Springs, AR 71901
Phone
(501) 321-2472
Fax
(501) 321-3592
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Scott E Seller, ODNPI 1104880657
Title
Owner
Phone
(501) 321-2473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2286 AR Primary

Addresses

Primary practice location

103 Ridgeway St
Hot Springs, AR 71901

Mailing address

103 Ridgeway St
Hot Springs, AR 71901
Phone (501) 321-2472

Other identifiers 1

IdentifierTypeStateIssuer
102427722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930081664 AR DME Supplier - Physician - Optometrist 7618170622 Practice locations: Hot Springs, AR
O20110510000449 AR Part B Supplier - Clinic/Group Practice 7618170622 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dr Scott E Seller OD103 Ridgeway, Hot Springs, AR 71901(501) 321-2473 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Mar 28, 2011

National Provider Directory

National Provider Directory

Locations

103 Ridgeway St
Hot Springs National Park, AR 71901
Phone (501) 321-2473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1043372550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIDGEWAY ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-321-2472",
            "fax_number": "501-321-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIDGEWAY ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-321-2472",
            "fax_number": "501-321-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLER EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "SELLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-321-2473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102427722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.