Organization Active NPI

Seeholzer Vision Center, Inc

  • Clinic/Center
  • Logan, UT
National Provider Identifier
1386814168
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
112925-9934 Issued in UT
Legal business name
SEEHOLZER VISION CENTER, INC
Practice address
124 N Main Street
Logan, UT 84321
Phone
(435) 752-5334
Fax
(435) 752-5949
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Jeff H Seeholzer, ODNPI 1326196569
Title
Owner
Phone
(435) 752-5334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 112925-9934 UT Primary
Medical Specialty Clinic/Center 261QM2500X 112925-9934 UT

Addresses

Primary practice location

124 N Main Street
Logan, UT 84321

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100729000878 UT Part B Supplier - Clinic/Group Practice 7315070174 Receives reassigned benefits from 2 practitioners
Practice locations: Logan, UT

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1386814168",
    "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 STREET",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-752-5334",
            "fax_number": "435-752-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEHOLZER VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SEEHOLZER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "112925-9934",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "UT",
            "license": "112925-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.