Individual provider Active NPI

Timothy James Seiter, OD

  • Optometrist
  • Provo, UT
National Provider Identifier
1366970774
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
103869409934 Issued in UT
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

Updated by the provider on May 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710003062 UT Practitioner - Optometry 1658640404 Reassigns benefits to 1 organization

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
Utah Valley Optometric PhysiciansGroup PAC ID 1658274899, 4 clinicians

Practice addresses (Care Compare)

374 E 400
Springville, UT 84663-1974
Phone (801) 489-5111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103869409934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Optometric Physicians Optometrist CurrentSince Jun 12, 2017 Accepting new patients
Frank a Siddoway OD PC Optometrist PastSince Jun 12, 2017 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.

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

Verify at the official NPI Registry.