Individual provider Active NPI

Karin Seidel, O D

  • Optometrist
  • Morrisville, VT
National Provider Identifier
1437156510
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030-0000189 Issued in VT
Practice address
833 Brooklyn St
Morrisville, VT 05661-8625
Phone
(802) 888-5272
Fax
(802) 888-5870
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030-0000189 VT Primary

Addresses

Primary practice location

833 Brooklyn St
Morrisville, VT 05661-8625

Mailing address

Apt 1
833 Brooklyn St
Morrisville, VT 05661-8625
Phone (802) 888-5272

Other identifiers 3

IdentifierTypeStateIssuer
0006605MedicaidVT
1348022001OtherVTCIGNA
VT6605OtherVTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20070206000078 VT Practitioner - Optometry 3971505843 Practice locations: Morrisville, VT; Barre, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030-0000189VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis J Cassani Past Accepting new patients

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1437156510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APT 1",
            "address_2": "833 BROOKLYN ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618625",
            "telephone_number": "802-888-5272",
            "fax_number": "802-888-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BROOKLYN ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618625",
            "telephone_number": "802-888-5272",
            "fax_number": "802-888-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "KARIN",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006605",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1348022001",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "VT6605",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.