Active NPI
Edmund A Seaward, OD
- Optometrist
- Des Moines, IA
National Provider Identifier
1235124041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1652
- Practice address
- 2472 E Euclid Ave
Des Moines, IA 50317-3658 - Phone
- (515) 262-7555
- Fax
- (515) 262-4423
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1652 | IA | Primary |
Addresses
Primary practice location
2472 E Euclid Ave
Des Moines, IA 50317-3658
Mailing address
2472 E Euclid Ave
Des Moines, IA 50317-3658
Phone (515) 262-7555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1139477 | Medicaid | IA | |
| 2200200 | Other | UNITED HEALTH CARE | |
| 42106102728 | Other | J DEERE HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1652 | IA | MD | Optometrist |
| 01652 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Optics Inc | Past | Accepting new patients | |
| Real Optics Inc | Past | Accepting new patients | |
| Absolute Vision Care PC | Optometrist | Past | Accepting new patients |
| Real Optics Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Optometrist
- Creston, IA
- NPI 1811900871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1235124041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 E EUCLID AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503173658",
"telephone_number": "515-262-7555",
"fax_number": "515-262-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 E EUCLID AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503173658",
"telephone_number": "515-262-7555",
"fax_number": "515-262-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAWARD",
"first_name": "EDMUND",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1139477",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2200200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "J DEERE HEALTH",
"identifier": "42106102728",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.