Individual provider Active NPI

Thomas J Seiler

  • Optometrist
  • Moses Lake, WA
National Provider Identifier
1508945197
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0D00001617 Issued in WA
Practice address
424 W 3Rd Ave
Moses Lake, WA 98837-1908
Phone
(509) 765-9681
Fax
(509) 765-4123
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 0D00001617 WA Primary

Addresses

Primary practice location

424 W 3Rd Ave
Moses Lake, WA 98837-1908

Mailing address

424 W 3Rd Ave
Moses Lake, WA 98837-1908
Phone (509) 765-9681

Other identifiers 1

IdentifierTypeStateIssuer
2032985MedicaidWA

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
I20080730000259 WA Practitioner - Optometry 5597839258 Practice locations: Mattawa, WA; Moses Lake, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0D00001617WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Opthomastry, PLLC Optometrist PastSince May 4, 2025 Accepting new patients
Thomas J Seiler Optometrist PastSince Jan 1, 1990 Accepting new patients

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1508945197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W 3RD AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371908",
            "telephone_number": "509-765-9681",
            "fax_number": "509-765-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W 3RD AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371908",
            "telephone_number": "509-765-9681",
            "fax_number": "509-765-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEILER",
        "first_name": "THOMAS",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "0D00001617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032985",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.