Active NPI
Scott Evan Seller, O.D.
- Optometrist
- Hot Springs, AR
National Provider Identifier
1104880657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2286
- Practice address
- 103 Ridgeway St
Hot Springs, AR 71901-7102 - Phone
- (501) 321-2473
- NPI assigned
- Apr 13, 2006
- Reactivated
- Dec 10, 2007
- Sex
- Male
- 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 | 2286 | AR | Primary |
Addresses
Primary practice location
103 Ridgeway St
Hot Springs, AR 71901-7102
Mailing address
103 Ridgeway St
Hot Springs, AR 71901-7102
Phone (501) 321-2473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49282G846 | Other | AR | GROUP MEMBER PTAN |
| 102427722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 Ridgeway St
Hot Springs, AR 71901-7102
Phone (501) 321-2473
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seller Eye Clinic, PA | Optometrist | Current | Accepting new patients |
Locations
103 Ridgeway St
Hot Springs National Park, AR 71901
Phone (501) 321-2473
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Hot Springs, AR
- NPI 1043372550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1104880657",
"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": "719017102",
"telephone_number": "501-321-2473"
},
{
"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": "719017102",
"telephone_number": "501-321-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLER",
"first_name": "SCOTT",
"middle_name": "EVAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2011-05-26",
"deactivation_date": "2007-12-03",
"reactivation_date": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEMBER PTAN",
"identifier": "49282G846",
"state": "AR"
},
{
"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; Order and Referring.
- 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.