Individual provider Active NPI

Jeff H Seeholzer, O.D,

  • Optometrist
  • Logan, UT
National Provider Identifier
1326196569
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
112925-9934 Issued in UT
Practice address
124 N Main St
Logan, UT 84321-4526
Phone
(435) 752-5334
Fax
(435) 752-5349
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 112925-9934 UT Primary
Corneal and Contact Management Optometrist 152WC0802X 112925-9934 UT

Addresses

Primary practice location

124 N Main St
Logan, UT 84321-4526

Mailing address

124 N Main St
Logan, UT 84321-4526
Phone (435) 752-5334

Other identifiers 1

IdentifierTypeStateIssuer
0523110001OtherUTMEDICARE DME

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100729000891 UT Practitioner - Optometry 8224161088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seeholzer Vision Center, IncGroup PAC ID 7315070174, 2 clinicians

Practice addresses (Care Compare)

124 N Main St
Logan, UT 84321-4526
Phone (435) 752-5334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112925-9934UTMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seeholzer Vision Center, Inc CurrentSince Sep 10, 1986 Accepting new patients

Locations

124 N Main St
Logan, UT 84321
Phone (435) 512-8758

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1326196569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214526",
            "telephone_number": "435-752-5334",
            "fax_number": "435-752-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214526",
            "telephone_number": "435-752-5334",
            "fax_number": "435-752-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEHOLZER",
        "first_name": "JEFF",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "112925-9934",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "112925-9934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0523110001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.