Organization Active NPI

Seen Eye Care, PLLC

Doing business as SEEN Modern Eyecare and Eyewear

  • Optometrist
  • Ridgefield, WA
National Provider Identifier
1104681386
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEEN EYE CARE, PLLC
Doing business as
SEEN Modern Eyecare and Eyewear
Practice address
201 S 47TH Ave Ste 117
Ridgefield, WA 98642-7780
Phone
(360) 887-7336
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Robert Gilbert, ODNPI 1215389721
Title
OD
Phone
(360) 887-7336

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 Primary

Addresses

Primary practice location

201 S 47TH Ave Ste 117
Ridgefield, WA 98642-7780

Mailing address

201 S 47TH Ave Ste 117
Ridgefield, WA 98642-7780

Other names 1

  • SEEN Modern Eyecare and Eyewear Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001193 WA Part B Supplier - Clinic/Group Practice 3577007848 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, WA

National Provider Directory

National Provider Directory

Locations

201 S 47th Ave
Ste 117
Ridgefield, WA 98642
Phone (360) 887-7336

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1104681386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 47TH AVE STE 117",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 47TH AVE STE 117",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427780",
            "telephone_number": "360-887-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEN EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "360-887-7336",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEEN Modern Eyecare and Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.