Active NPI
Mark H Seipel, O.D.
- Optometrist
- Norfolk, VA
National Provider Identifier
1154418564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000125
- Practice address
- 7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700 - Phone
- (757) 588-5423
- Fax
- (757) 588-6012
- NPI assigned
- Oct 6, 2006
- 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 | 0618000125 | VA | Primary |
Addresses
Primary practice location
7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700
Mailing address
7525 Tidewater Dr
Suite 41
Norfolk, VA 23505-3700
Phone (757) 588-5423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9234861 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080721000290 | VA | Practitioner - Optometry | 3971676206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1154418564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR",
"address_2": "SUITE 41",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-588-5423",
"fax_number": "757-588-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR",
"address_2": "SUITE 41",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-588-5423",
"fax_number": "757-588-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIPEL",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9234861",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.