Individual provider Active NPI

Cameron Seidel, OD

  • Optometrist
  • Prosser, WA
National Provider Identifier
1508885674
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60275041 Issued in WA
Practice address
714 6TH St
Prosser, WA 99350-1439
Phone
(509) 781-6565
Fax
(509) 781-6487
NPI assigned
Jul 19, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 OD60275041 WA Primary

Addresses

Primary practice location

714 6TH St
Prosser, WA 99350-1439

Mailing address

714 6TH St
Prosser, WA 99350-1439
Phone (509) 781-6565

Other identifiers 1

IdentifierTypeStateIssuer
2025535MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120821000938 WA Practitioner - Optometry 8628126919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

714 6TH St
Prosser, WA 99350-1439
Phone (509) 781-6565

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60275041WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
For Your Eyes Only Inc. P.C. Optometrist CurrentSince Mar 9, 2013 Accepting new patients
For Your Eyes Only Inc. P.C. Optometrist Current Accepting new patients
Scott a Cherne, MD PA Past Accepting new patients
Pacific Clear Vision Institute, PC Optometrist Past Accepting new patients

Locations

714 6th St
Prosser, WA 99350
Phone (509) 781-6565

14 S Wenatchee Ave
Wenatchee, WA 98801
Phone (509) 662-2653

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, 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1508885674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 6TH ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501439",
            "telephone_number": "509-781-6565",
            "fax_number": "509-781-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 6TH ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501439",
            "telephone_number": "509-781-6565",
            "fax_number": "509-781-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "CAMERON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60275041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025535",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

Verify at the official NPI Registry.