Individual provider Active NPI

Scott Evan Seller, O.D.

  • Optometrist
  • Hot Springs, AR
National Provider Identifier
1104880657
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2286 Issued in AR
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

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
49282G846OtherARGROUP MEMBER PTAN
102427722MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000425 AR Practitioner - Optometry 1355345695 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seller Eye Clinic, PA Optometrist CurrentSince Nov 27, 2006 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.

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

Verify at the official NPI Registry.