Individual provider Active NPI

Keith L Sehon, O.D.

  • Optometrist
  • Slidell, LA
National Provider Identifier
1477517803
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
852-198T Issued in LA
Practice address
401 Pontchartrain Dr
Suite a
Slidell, LA 70458-4329
Phone
(985) 641-1195
Fax
(985) 641-1193
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 852-198T LA Primary

Addresses

Primary practice location

401 Pontchartrain Dr
Suite a
Slidell, LA 70458-4329

Mailing address

1537 Maplewood Dr
Slidell, LA 70458-3135
Phone (985) 641-1195

Other identifiers 1

IdentifierTypeStateIssuer
1903205MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100526000088 LA Practitioner - Optometry 8921137266 Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1534 Front St
Slidell, LA 70458-2724
Phone (985) 326-8232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
852LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Optical Optometrist Current Accepting new patients
My View Optical PastSince Mar 16, 2021 Accepting new patients
Rivertown Optical LLC PastSince Jul 16, 2023 Accepting new patients
Rivertown Optical LLC PastSince Jul 23, 2023 Accepting new patients

Locations

2053 Gause Blvd E
Ste 100
Slidell, LA 70461
Phone (985) 649-0206

2050 Gause Blvd E
Ste 150
Slidell, LA 70461
Phone (985) 649-0206

Organizations & group practices 4

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1477517803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 MAPLEWOOD DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583135",
            "telephone_number": "985-641-1195",
            "fax_number": "985-641-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PONTCHARTRAIN DR",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704584329",
            "telephone_number": "985-641-1195",
            "fax_number": "985-641-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHON",
        "first_name": "KEITH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "852-198T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1903205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.