Individual provider Active NPI

Jason Seligman, O.D.

  • Optometrist
  • Riverhead, NY
National Provider Identifier
1659467587
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006039 Issued in NY
Practice address
765 Old Country Road
Riverhead, NY 11901
Phone
(631) 369-9055
NPI assigned
Oct 5, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3316 FL
Optometrist 152W00000X VUT006039 NY Primary
Optometrist 152W00000X 14271910-9934 UT

Addresses

Primary practice location

765 Old Country Road
Riverhead, NY 11901

Mailing address

14 Scenicview Crescent
Manorville, NY 11949
Phone (631) 830-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090227000263 NY Practitioner - Optometry 0042376006 Reassigns benefits to 1 organization
I20260615003985 UT Practitioner - Optometry 0042376006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Scenicview Cres
Manorville, NY 11949-2978

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3316FLMDOptometrist
VUT006039NYMDOptometrist
14271910-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Geppetto Management Corp Optometrist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1659467587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SCENICVIEW CRESCENT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "11949",
            "telephone_number": "631-830-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 OLD COUNTRY ROAD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-369-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIGMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3316",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006039",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14271910-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.