Individual provider Active NPI

Dajana Komadina Seiler, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1487900130
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1920 Issued in KS
Practice address
1223 N Rock Rd
BLDG C
Wichita, KS 67206
Phone
(316) 634-2020
NPI assigned
Jul 31, 2012
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1920 KS Primary

Addresses

Primary practice location

1223 N Rock Rd
BLDG C
Wichita, KS 67206

Mailing address

1223 N Rock Rd
BLDG C
Wichita, KS 67206-1269
Phone (316) 634-2020

Other practice location 1

120 W 6th St Ste 185
Newton, KS 67114-2150
Phone (316) 283-7453

Other practice location 2

3730 N Ridge Rd Ste 400
Wichita, KS 67205-1228
Phone (316) 201-4600

Other identifiers 2

IdentifierTypeStateIssuer
1920OtherKSOPTOMETRY LICENSE
201001510AMedicaidKS

Other names 1

  • Dajana Komadina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20121218000111 KS Practitioner - Optometry 5597917617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Family Vision Clinic, P.a.Group PAC ID 2365499928, 6 clinicians

Practice addresses (Care Compare)

437 N Tyler Rd
Wichita, KS 67212-3630
Phone (316) 722-1001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Family Vision Clinic, P.a. Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

437 N Tyler Rd
Wichita, KS 67212
Phone (316) 722-1001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1487900130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061269",
            "telephone_number": "316-634-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N ROCK RD",
            "address_2": "BLDG C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-634-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 6th St Ste 185",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671142150",
            "country_code": "US",
            "telephone_number": "316-283-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3730 N Ridge Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051228",
            "country_code": "US",
            "telephone_number": "316-201-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEILER",
        "first_name": "DAJANA",
        "middle_name": "KOMADINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "1920",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201001510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAJANA",
            "last_name": "KOMADINA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.