Individual provider Active NPI

Lynn M. Seldon

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1073691010
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TPA7405 Issued in CA
Practice address
300 S Beverly Dr Ste 307
Beverly Hills, CA 90212-4806
Phone
(310) 553-2224
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TPA7405 CA Primary

Addresses

Primary practice location

300 S Beverly Dr Ste 307
Beverly Hills, CA 90212-4806

Mailing address

300 S Beverly Dr Ste 307
Beverly Hills, CA 90212-4806
Phone (310) 553-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090428000152 CA Practitioner - Optometry 4789732991 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Beverly Dr
Suite 307
Beverly Hills, CA 90212-4806
Phone (310) 553-2224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPA7405CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1073691010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR STE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124806",
            "telephone_number": "310-553-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR STE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124806",
            "telephone_number": "310-553-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDON",
        "first_name": "LYNN",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TPA7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.