NPIMap

Individual provider Active NPI

Celeste Seadler, O.D.

  • Optometrist
  • Hodgenville, KY
National Provider Identifier
1528085248
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1639DT Issued in KY
Practice address
109 S Walters Ave
Hodgenville, KY 42748-1533
Phone
(270) 358-8141
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1639DT KY Primary
Optometrist 152W00000X 18003362A IN

Addresses

Primary practice location

109 S Walters Ave
Hodgenville, KY 42748-1533

Mailing address

109 S Walters Ave
Hodgenville, KY 42748-1533
Phone (270) 358-8141

Other identifiers 6

IdentifierTypeStateIssuer
5419240003OtherKYMEDICARE NSC - DMERC
5419240012OtherKYMEDICARE NSC - DMERC
77001394MedicaidKY
P00609334OtherKYRR MEDICARE
000000533153OtherKYANTHEM BCBS
000000532002OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000881 KY Practitioner - Optometry 4082644042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Optometric Centers III, PSC 38 clinicians

Practice addresses (Care Compare)

109 S Walters Ave
Hodgenville, KY 42748-1533
Phone (270) 358-8141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003362AINMDOptometrist
1639DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Feb 5, 2007 Accepting new patients
Louisville Optometric Centers III, PSC CurrentSince Feb 5, 2007 Accepting new patients
Precision Eyecare PastSince Jul 24, 2006 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

109 S Walters Ave
Hodgenville, KY 42748
Phone (270) 358-4157

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

815 Main St
Munfordville, KY 42765
Phone (270) 524-5444

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1528085248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S WALTERS AVE",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427481533",
            "telephone_number": "270-358-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WALTERS AVE",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427481533",
            "telephone_number": "270-358-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEADLER",
        "first_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1639DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003362A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC - DMERC",
            "identifier": "5419240003",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC - DMERC",
            "identifier": "5419240012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001394",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00609334",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000533153",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000532002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodgenville, KY

Sources for this page

Verify at the official NPI Registry.