Individual provider Active NPI

Danielle R Seddio, OD

  • Optometrist
  • Madison, WI
National Provider Identifier
1144518127
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3330-35 Issued in WI
Practice address
6658 Odana Rd
Madison, WI 53719-1012
Phone
(608) 829-3937
Fax
(608) 831-2330
NPI assigned
Jul 12, 2011
Last updated
May 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3330-35 WI Primary

Addresses

Primary practice location

6658 Odana Rd
Madison, WI 53719-1012

Mailing address

6658 Odana Rd
Madison, WI 53719-1012
Phone (608) 829-3937

Other names 1

  • Ms. Danielle R Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170712002554 WI Practitioner - Optometry 8628248671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Eyes, Inc.Group PAC ID 5395719413, 3 clinicians

Practice addresses (Care Compare)

6122 Mineral Point Rd
Madison, WI 53705-4458
Phone (608) 833-0301

8406 Old Sauk Rd
Middleton, WI 53562-4367
Phone (608) 833-7256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Eyes, Inc. Optometrist CurrentSince Jun 20, 2017 Accepting new patients
Blenker Family Eye Care LLC Optometrist Past Accepting new patients

Locations

6122 Mineral Point Rd
Madison, WI 53705
Phone (608) 833-0301

6614 Mineral Point Rd
Madison, WI 53705
Phone (608) 833-0301

8406 Old Sauk Rd
Middleton, WI 53562
Phone (608) 833-7256

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1144518127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6658 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-829-3937",
            "fax_number": "608-831-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-829-3937",
            "fax_number": "608-831-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDDIO",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3330-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DAVIS",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.