Individual provider Active NPI

August Mark Seilheimer, OPTICIAN

  • Optician
  • Paducah, KY
National Provider Identifier
1295946960
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1197 Issued in KY
Practice address
3340 Irvin Cobb Dr
Paducah, KY 42003-0501
Phone
(270) 575-1919
Fax
(270) 575-1922
NPI assigned
May 24, 2007
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1197 KY Primary

Addresses

Primary practice location

3340 Irvin Cobb Dr
Paducah, KY 42003-0501

Mailing address

3340 Irvin Cobb Dr
Paducah, KY 42003-0501
Phone (270) 575-1919

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1295946960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 IRVIN COBB DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420030501",
            "telephone_number": "270-575-1919",
            "fax_number": "270-575-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 IRVIN COBB DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420030501",
            "telephone_number": "270-575-1919",
            "fax_number": "270-575-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEILHEIMER",
        "first_name": "AUGUST",
        "middle_name": "MARK",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.