Organization Active NPI

Sevigny & Associates Eye Care, PA

Doing business as Sevigny and Timmerman Eye Care

  • Optometrist
  • Wauchula, FL
National Provider Identifier
1649427543
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in FL
Legal business name
SEVIGNY & ASSOCIATES EYE CARE, PA
Doing business as
Sevigny and Timmerman Eye Care
Practice address
735 N 6TH Ave
Wauchula, FL 33873-2002
Phone
(863) 773-3322
Fax
(863) 773-6458
NPI assigned
Aug 21, 2008
Last updated
Nov 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Dr. Mark D. Sevigny, O.D.NPI 1205028461
Title
Owner/Doctor
Phone
(863) 773-3322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 152W00000X FL Primary

Addresses

Primary practice location

735 N 6TH Ave
Wauchula, FL 33873-2002

Mailing address

735 N 6TH Ave
Wauchula, FL 33873-2002
Phone (863) 773-3322

Other identifiers 1

IdentifierTypeStateIssuer
002372600MedicaidFL

Other names 1

  • Sevigny and Timmerman Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100215000559 FL Part B Supplier - Clinic/Group Practice 3173667110 Receives reassigned benefits from 13 practitioners
Practice locations: Wauchula, FL; Sebring, FL; Avon Park, FL; Arcadia, FL; Lake Placid, FL
O20110414000072 FL DME Supplier - Physician - Optometrist 3173667110 Practice locations: Sebring, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2092448Sevigny & Associates Eye Care PA735 N 6TH Ave, Wauchula, FL 33873Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

2442 NE Highway 70
Arcadia, FL 34266
Phone (863) 491-7777

2315 US Highway 27 N
Avon Park, FL 33825
Phone (863) 212-7070

2323 US 27 N
Avon Park, FL 33825

363 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-7070

735 N 6th Ave
Wauchula, FL 33873
Phone (863) 773-3322

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1649427543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N 6TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732002",
            "telephone_number": "863-773-3322",
            "fax_number": "863-773-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVIGNY & ASSOCIATES EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SEVIGNY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "863-773-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002372600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sevigny and Timmerman Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauchula, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.