Active NPI
Timothy James Seiter, OD
- Optometrist
- Provo, UT
National Provider Identifier
1366970774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 103869409934
- Practice address
- 1355 N University Ave
Provo, UT 84604-2721 - Phone
- (801) 377-4333
- NPI assigned
- May 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 103869409934 | UT | Primary |
Addresses
Primary practice location
1355 N University Ave
Provo, UT 84604-2721
Mailing address
240 W 850 S
Heber City, UT 84032-2433
Phone (435) 671-1230
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
374 E 400
Springville, UT 84663-1974
Phone (801) 489-5111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103869409934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Valley Optometric Physicians | Optometrist | Current | Accepting new patients |
| Frank a Siddoway OD PC | Optometrist | Past | Accepting new patients |
Locations
1355 N University Ave
Ste 100
Provo, UT 84604
Phone (801) 377-4333
374 E 400 S
Springville, UT 84663
Phone (801) 489-5111
374 E 400 S
Ste 1
Springville, UT 84663
Phone (801) 489-5111
Organizations & group practices 2
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.
-
- Optometrist
- Springville, UT
- NPI 1760545735
-
- Optometrist
- Provo, UT
- NPI 1073786505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1366970774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 850 S",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840322433",
"telephone_number": "435-671-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 N UNIVERSITY AVE",
"city": "PROVO",
"state": "UT",
"postal_code": "846042721",
"telephone_number": "801-377-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITER",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "103869409934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.