Seymour Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2949 Issued in CT

Legal business name

SEYMOUR VISION LLC

Practice address

343 Beach St Apt 506
West Haven, CT 06516-6172

Phone

(707) 318-3451

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Tara Seymour, O.D.

Title

Optometrist

Phone

(707) 318-3451

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1164933115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 BEACH ST APT 506",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166172",
            "telephone_number": "707-318-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 BEACH ST APT 506",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065166172",
            "telephone_number": "707-318-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "707-318-3451",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008060451",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Serowik, PHD
• Christina Ann Setkoski, DPT
• Sevi Cares CT PLLC
• Sevi CT LLC
• Sevi Health CT Clover, PC
• Nelofar Q Shafi, MD
• Angelin S Shajan, DO
• Heidi Anne Shamansky, RPT
• Tracy Leigh Shamas, APRN
• Jeffrey P Shanley, MS, ATC

• Optometrist in West Haven, CT
• Providers in West Haven, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.