Active NPI
Micah R Seilheimer, OD
- Optometrist
- Paducah, KY
National Provider Identifier
1104442474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2173DT
- Practice address
- 3340 Irvin Cobb Dr
Paducah, KY 42003-0501 - Phone
- (270) 441-7332
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2173DT | KY | Primary |
Addresses
Primary practice location
3340 Irvin Cobb Dr
Paducah, KY 42003-0501
Mailing address
3340 Irvin Cobb Dr
Paducah, KY 42003-0501
Phone (270) 441-7332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200715003368 | KY | Practitioner - Optometry | 7517381148 | Practice locations: Paducah, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1104442474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030501",
"telephone_number": "270-441-7332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030501",
"telephone_number": "270-441-7332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEILHEIMER",
"first_name": "MICAH",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2173DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.