Individual provider Active NPI

Hobart J Seese, O.D.

  • Optometrist
  • Morgantown, WV
National Provider Identifier
1437137890
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
928OD Issued in WV
Practice address
6051 University Town Centre Dr
Wal-Mart BLDG.
Morgantown, WV 26501-2292
Phone
(304) 599-7337
Fax
(866) 465-6057
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 928OD WV Primary

Addresses

Primary practice location

6051 University Town Centre Dr
Wal-Mart BLDG.
Morgantown, WV 26501-2292

Mailing address

105 Nelson Dr
Morgantown, WV 26508-4275
Phone (304) 291-5565

Other identifiers 1

IdentifierTypeStateIssuer
0149798000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040309000579 WV Practitioner - Optometry 8527956796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Optical PLLCGroup PAC ID 2668415589, 6 clinicians

Practice addresses (Care Compare)

1257 Pineview Dr
Morgantown, WV 26505-2738
Phone (304) 599-7034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
928ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Optical PLLC Optometrist CurrentSince Mar 11, 2019 Accepting new patients

Locations

45 Professional Pl
Bridgeport, WV 26330

1257 Pineview Dr
Morgantown, WV 26505
Phone (304) 296-2020

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1437137890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NELSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084275",
            "telephone_number": "304-291-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 UNIVERSITY TOWN CENTRE DR",
            "address_2": "WAL-MART BLDG.",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012292",
            "telephone_number": "304-599-7337",
            "fax_number": "866-465-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEESE",
        "first_name": "HOBART",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "928OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149798000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.