Active NPI
Benjamin Clark Seljestad, O.D.
- Optometrist
- Carson City, NV
National Provider Identifier
1124297148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 490
- Practice address
- 700 Old Clear Creek Rd
Carson City, NV 89705-6853 - Phone
- (775) 884-2020
- NPI assigned
- Feb 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 490 | NV | Primary |
Addresses
Primary practice location
700 Old Clear Creek Rd
Carson City, NV 89705-6853
Mailing address
700 Old Clear Creek Rd
Carson City, NV 89705-6853
Phone (775) 884-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3033 N Carson St
Carson City, NV 89706-0153
Phone (775) 884-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Sierra Eyecare, Inc. | Optometrist | Current | Accepting new patients |
| Optic One Eye Care Centers of Spokane PC | Optometrist | Past | Accepting new patients |
| See Center | Optometrist | Past | Accepting new patients |
Locations
700 Old Clear Creek Rd
Carson City, NV 89705
Phone (775) 881-2502
3033 N Carson St
Carson City, NV 89706
Phone (775) 884-2020
Organizations & group practices 3
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
- Carson City, NV
- NPI 1821216474
-
- Optometrist
- Carson City, NV
- NPI 1548447279
-
- Optometrist
- Spokane, WA
- NPI 1801948013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203724800000",
"number": "1124297148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLD CLEAR CREEK RD",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897056853",
"telephone_number": "775-884-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLD CLEAR CREEK RD",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897056853",
"telephone_number": "775-884-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELJESTAD",
"first_name": "BENJAMIN",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-23",
"last_updated": "2008-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.