Individual provider Active NPI

Blair Gregory Seelhammer, O.D.

  • Optometrist
  • Rochester, MN
National Provider Identifier
1184682668
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3135 Issued in MN
Practice address
111 S Broadway
Ste 101
Rochester, MN 55904
Phone
(623) 815-1600
NPI assigned
May 3, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1440 AZ
Optometrist 152W00000X 3135 MN Primary

Addresses

Primary practice location

111 S Broadway
Ste 101
Rochester, MN 55904

Mailing address

5167 Scenic Oak Dr SW
Rochester, MN 55902
Phone (507) 206-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100310001024 MN Practitioner - Optometry 7719904853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gibbons Optical, LLCGroup PAC ID 9436213550, 2 clinicians

Practice addresses (Care Compare)

150 17TH Ave NW
Rochester, MN 55901-0321
Phone (507) 288-6964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1206NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbons Optical, LLC CurrentSince Sep 11, 2020 Accepting new patients
Seelhammer Optical, Inc. Optometrist PastSince May 13, 2006 Accepting new patients

Locations

150 17th Ave NW
Rochester, MN 55901
Phone (507) 288-6964

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1184682668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 SCENIC OAK DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55902",
            "telephone_number": "507-206-4955",
            "fax_number": "507-206-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BROADWAY",
            "address_2": "STE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "623-815-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELHAMMER",
        "first_name": "BLAIR",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1440",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.