Individual provider Active NPI

Cullen Seth Carver, OD

  • Optometrist
  • Cullman, AL
National Provider Identifier
1437834157
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-F19 Issued in AL
Practice address
1904 Market Platz Ctr SW
Cullman, AL 35055-7506
Phone
(256) 615-6988
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-F19 AL Primary

Addresses

Primary practice location

1904 Market Platz Ctr SW
Cullman, AL 35055-7506

Mailing address

112 Woodmere Creek LN
Birmingham, AL 35226-3561
Phone (270) 943-4040

Other practice location 1

1639 Field Of Miracles Dr
Cullman, AL 35055-7601
Phone (256) 739-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230823000265 AL Practitioner - Optometry 8123481264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boozer Eyecare Associates, P.C.Group PAC ID 2163505793, 4 clinicians

Practice addresses (Care Compare)

1639 Field of Miracles Dr SW
Cullman, AL 35055-7601
Phone (256) 739-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-F19ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boozer Eye Care Assoc., P.C. Optometrist CurrentSince Jul 11, 2023 Accepting new patients
National Vision Inc Optometrist CurrentSince Jun 25, 2023 Accepting new patients

Locations

1639 Field of Miracles Dr
Cullman, AL 35055
Phone (256) 739-4000

1904 Market Platz Ctr SW
Cullman, AL 35055
Phone (256) 615-6988

1639 Field of Miracles Dr
#888888888888888888888888888888
Cullman, AL 35055

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1437834157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WOODMERE CREEK LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263561",
            "telephone_number": "270-943-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 MARKET PLATZ CTR SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557506",
            "telephone_number": "256-615-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1639 Field Of Miracles Dr",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350557601",
            "country_code": "US",
            "telephone_number": "256-739-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVER",
        "first_name": "CULLEN",
        "middle_name": "SETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.