Organization Active NPI

Seidel Eyecare Center, PLLC

  • Optometrist
  • Burleson, TX
National Provider Identifier
1356587877
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6869T Issued in TX
Legal business name
SEIDEL EYECARE CENTER, PLLC
Practice address
1314 NW John Jones Dr
Burleson, TX 76028-8040
Phone
(817) 349-4485
Fax
(817) 349-4489
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Cameron Seidel, OD
Title
Managing Partner
Phone
(817) 371-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6869T TX Primary

Addresses

Primary practice location

1314 NW John Jones Dr
Burleson, TX 76028-8040

Mailing address

1314 NW John Jones Dr
Burleson, TX 76028-8040
Phone (817) 349-4485

National Provider Directory

National Provider Directory

Locations

1314 NW John Jones Dr
Burleson, TX 76028
Phone (817) 295-6868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1356587877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "817-349-4485",
            "fax_number": "817-349-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "817-349-4485",
            "fax_number": "817-349-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDEL EYECARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-371-7336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6869T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.