Individual provider Active NPI

Marissa Renee Seider, OD

  • Optometrist
  • Amherst, NY
National Provider Identifier
1558048728
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009849 Issued in NY
Practice address
2825 Niagara Falls Blvd Ste 130
Amherst, NY 14228-2021
Phone
(716) 564-2020
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 009849 NY Primary

Addresses

Primary practice location

2825 Niagara Falls Blvd Ste 130
Amherst, NY 14228-2021

Mailing address

3768 Coomer Rd
Newfane, NY 14108-9617
Phone (716) 343-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230724003754 NY Practitioner - Optometry 6305206277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah a Shaw OD Optometrist PLLCGroup PAC ID 2668703752, 2 clinicians
Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

Practice addresses (Care Compare)

215 E Ave
Lockport, NY 14094-3812
Phone (716) 434-2874

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2021
Phone (716) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009849NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah a Shaw OD Optometrist PLLC Optometrist CurrentSince Jan 27, 2025 Accepting new patients
East Avenue Vision Center PastSince Jan 27, 2025 Accepting new patients
Legarreta Eye Center Optometrist Past Accepting new patients

Locations

215 East Ave
Lockport, NY 14094
Phone (716) 434-2874

Organizations & group practices 5

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1558048728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 COOMER RD",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "141089617",
            "telephone_number": "716-343-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282021",
            "telephone_number": "716-564-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDER",
        "first_name": "MARISSA",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.