Individual provider Active NPI

Seth Gorman, OD

  • Optometrist
  • Richmond, VA
National Provider Identifier
1629627559
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002822 Issued in VA
Practice address
4501 S Laburnum Ave Ste 145
Richmond, VA 23231-2483
Phone
(804) 591-4581
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002822 VA Primary

Addresses

Primary practice location

4501 S Laburnum Ave Ste 145
Richmond, VA 23231-2483

Mailing address

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

Other practice location 1

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

Other practice location 2

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

Other practice location 3

3410 Pump Rd
Henrico, VA 23233
Phone (804) 364-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210106000306 VA Practitioner - Optometry 5698188902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Rainer and Ryan Optometrists PLCGroup PAC ID 4486688355, 5 clinicians
Vision Center PCGroup PAC ID 9931260320, 4 clinicians
James River Eye AssociatesGroup PAC ID 1557510831, 5 clinicians

Practice addresses (Care Compare)

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233-1111
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Rainer & Ryan Optometrists PLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
James River Eye Associates Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Vision Center PC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
National Vision, Inc. PastSince Sep 8, 2019 Accepting new patients

Locations

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

3410 Pump Rd
Richmond, VA 23233
Phone (804) 364-1837

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1629627559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596514",
            "telephone_number": "804-515-7733",
            "fax_number": "804-515-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S LABURNUM AVE STE 145",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312483",
            "telephone_number": "804-591-4581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10116 Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "23059",
            "country_code": "US",
            "telephone_number": "804-515-7733",
            "fax_number": "804-515-9636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5617 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23230",
            "country_code": "US",
            "telephone_number": "804-282-7228",
            "fax_number": "804-285-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Pump Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "23233",
            "country_code": "US",
            "telephone_number": "804-364-1837",
            "fax_number": "804-364-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.