Individual provider Active NPI

Scott Moohun Seo, M.D., PH.D.

  • Ophthalmology Physician
  • Bridgeport, CT
National Provider Identifier
1285770537
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
045060 Issued in CT
Practice address
3715 Main St
Suite 309
Bridgeport, CT 06606-3618
Phone
(203) 372-4211
Fax
(203) 372-4142
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 045060 CT Primary

Addresses

Primary practice location

3715 Main St
Suite 309
Bridgeport, CT 06606-3618

Mailing address

3715 Main St
Suite 309
Bridgeport, CT 06606-3618
Phone (203) 372-4211

Other identifiers 1

IdentifierTypeStateIssuer
001450600MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000540 CT Practitioner - Ophthalmology 2567562929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3715 Main St
Suite 309
Bridgeport, CT 06606-3611
Phone (203) 372-4211

3715 Main St
Suite 309
Bridgeport, CT 06606-3689

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as individual
Quality
93.92
Improvement activities
40
Cost
74.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Ophthalmology, LLC Ophthalmology CurrentSince Apr 1, 2010 Accepting new patients

Locations

3715 Main St
Ste 309
Bridgeport, CT 06606
Phone (203) 254-8050

Interoperability endpoints

  • Direct secure messaging: sseo@scottseomd.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1285770537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "SUITE 309",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-372-4211",
            "fax_number": "203-372-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "SUITE 309",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-372-4211",
            "fax_number": "203-372-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "SCOTT",
        "middle_name": "MOOHUN",
        "name_prefix": "Mr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "045060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001450600",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.