Individual provider Active NPI

Teresa M Seim, O.D.

  • Optometrist
  • Mattawan, MI
National Provider Identifier
1083716971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003899 Issued in MI
Practice address
52883 N Main St
Mattawan, MI 49071-8309
Phone
(269) 668-5558
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003899 MI Primary

Addresses

Primary practice location

52883 N Main St
Mattawan, MI 49071-8309

Mailing address

52883 N Main St
Mattawan, MI 49071-8309
Phone (269) 668-5558

Other identifiers 1

IdentifierTypeStateIssuer
4474499MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081121000356 MI Practitioner - Optometry 0042370900 Reassigns benefits to 1 organization
Practice locations: Mattawan, MI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattawan Family Eye Care PLCGroup PAC ID 4486097094, 2 clinicians

Practice addresses (Care Compare)

52883 N Main St
Mattawan, MI 49071-8309
Phone (269) 668-5558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mattawan Family Eye Care PLC Optometrist CurrentSince Dec 17, 2023 Accepting new patients
Mid Michigan Eye Care Center, PC Optometrist PastSince Apr 1, 1994 Accepting new patients

Locations

52883 N Main St
Mattawan, MI 49071
Phone (269) 668-5558

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083716971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52883 N MAIN ST",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490718309",
            "telephone_number": "269-668-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52883 N MAIN ST",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490718309",
            "telephone_number": "269-668-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIM",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4474499",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattawan, MI

Sources for this page

Verify at the official NPI Registry.