Individual provider Active NPI

Madeleine Seidel, OD

  • Optometrist
  • Big Rapids, MI
National Provider Identifier
1669150454
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005716 Issued in MI
Practice address
1124 S State St
Big Rapids, MI 49307-2256
Phone
(231) 591-2020
NPI assigned
Jul 11, 2023
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005716 MI Primary

Addresses

Primary practice location

1124 S State St
Big Rapids, MI 49307-2256

Mailing address

521 Fuller Ave Apt 201B
Big Rapids, MI 49307-2165
Phone (248) 881-0613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230814000156 MI Practitioner - Optometry 6507228236 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orbital Vision PLLC Current Accepting new patients
Ferris State University CurrentSince Sep 10, 2023 Accepting new patients
West Point Optical Group Optometrist CurrentSince Jan 7, 2024 Accepting new patients
Ferris State University Optometrist CurrentSince Sep 10, 2023 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
West Point Optical Group Optometrist PastSince Aug 28, 2022 Accepting new patients

Locations

654 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 761-8300

4576 Miller Rd
Flint, MI 48507
Phone (810) 732-4100

1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131

2974 28th St SE
Ste A
Kentwood, MI 49512
Phone (616) 949-2120

30981 5 Mile Rd
Livonia, MI 48154
Phone (734) 522-3000

26140 Ingersol Dr
Novi, MI 48375
Phone (248) 348-2900

6650 S Westnedge Ave
Ste 232
Portage, MI 49024
Phone (269) 327-2881

2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230

32987 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-9080

21304 Eureka Rd
Taylor, MI 48180
Phone (734) 287-4300

Organizations & group practices 7

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1669150454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 FULLER AVE APT 201B",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072165",
            "telephone_number": "248-881-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072256",
            "telephone_number": "231-591-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.