Individual provider Active NPI

Neldon Scott Seitz, O.D.

  • Optometrist
  • Vernal, UT
National Provider Identifier
1649377615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114597-9934 Issued in UT
Practice address
185 N Vernal Ave
Suite 3
Vernal, UT 84078-2100
Phone
(435) 789-1552
Fax
(435) 789-1551
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 114597-9934 UT Primary

Addresses

Primary practice location

185 N Vernal Ave
Suite 3
Vernal, UT 84078-2100

Mailing address

185 N Vernal Ave
Suite 3
Vernal, UT 84078-2100
Phone (435) 789-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120621000580 UT Practitioner - Optometry 9133144595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seitz Eye Care, IncGroup PAC ID 1557391984, 3 clinicians

Practice addresses (Care Compare)

185 N Vernal Ave
Vernal, UT 84078-2100
Phone (435) 789-1552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114597-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seitz Eye Care, Inc Optometrist CurrentSince Jul 6, 1993 Accepting new patients

Locations

185 N Vernal Ave
Vernal, UT 84078
Phone (435) 200-5683

185 N Vernal Ave
Ste 3
Vernal, UT 84078
Phone (435) 637-4800

185 N Vernal Ave
Ste 34
Vernal, UT 84078

185 N Vernal Ave
Ste 4
Vernal, UT 84078
Phone (435) 789-1552

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649377615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N VERNAL AVE",
            "address_2": "SUITE 3",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782100",
            "telephone_number": "435-789-1552",
            "fax_number": "435-789-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N VERNAL AVE",
            "address_2": "SUITE 3",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782100",
            "telephone_number": "435-789-1552",
            "fax_number": "435-789-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "NELDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "114597-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.