Gordon Alan Seitz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

113748-9934 Issued in UT

Practice address

185 N Vernal Ave
Suite 3
Vernal, UT 84078-2100

Phone

(435) 789-1552

Fax

(435) 789-1551

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seitz Eye Care, IncGroup PAC ID 1557391984, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Seitz Eye Care, Inc

  • Optometrist
  • Vernal, UT
  • NPI 1245354901
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashley Valley Medical Center LLC

  • General Acute Care Hospital
  • Vernal, UT
  • NPI 1447296249
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215034202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N VERNAL AVE",
            "address_2": "SUITE 3",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782100",
            "telephone_number": "435-789-1552",
            "fax_number": "435-789-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N VERNAL AVE",
            "address_2": "SUITE 3",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782100",
            "telephone_number": "435-789-1552",
            "fax_number": "435-789-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "GORDON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113748-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529198581009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek John Schwebach, LCSW
• Allison Scott
• Kandice Searle, LCSW
• Michael J Seeley, PT
• Seitz Eye Care, Inc
• Neldon Scott Seitz, O.D.
• Ben Dogan Semadeni, PHARM. D.
• Gaven Sepulveda
• Kimberly Rae Shaeffer, BS
• Ambrosia Sheehan, RBT

• Optometrist in Vernal, UT
• Providers in Vernal, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.