Summit Eye & Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00419700 Issued in NJ

Legal business name

SUMMIT EYE & OPTICAL LLC

Practice address

323 Springfield Ave
Summit, NJ 07901-3626

Phone

(908) 918-0377

Fax

(908) 918-0109

NPI assigned

May 4, 2011

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Seiler, ODNPI 1114911476

Title

Owner

Phone

(908) 918-0377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald J. Seiler, OD

  • Optometrist
  • Summit, NJ
  • NPI 1114911476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1184916587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SPRINGFIELD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013626",
            "telephone_number": "908-918-0377",
            "fax_number": "908-918-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SPRINGFIELD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013626",
            "telephone_number": "908-918-0377",
            "fax_number": "908-918-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE & OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "SEILER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-918-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00419700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Board of Education
• Summit Cardiology, LLC
• Summit Dental Partners
• Summit Dentist
• Summit Dermatology LLC
• Summit Health & Rehab LLC
• Summit Hearing Aid Center LLC
• Summit Internal Medicine LLC
• Summit Oaks Hospital
• Summit Oaks Hospital Inc

• Optometrist in Summit, NJ
• Providers in Summit, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.