Individual provider Active NPI

Jason Thomas Seim, OD

  • Optometrist
  • Lexington, NE
National Provider Identifier
1699852145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1204 Issued in NE
Practice address
801 N Grant St
Lexington, NE 68850-0637
Phone
(308) 324-5631
Fax
(308) 324-3096
NPI assigned
Nov 1, 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 1204 NE Primary

Addresses

Primary practice location

801 N Grant St
Lexington, NE 68850-0637

Mailing address

PO Box 637
Lexington, NE 68850-0637
Phone (308) 324-5631

Other identifiers 2

IdentifierTypeStateIssuer
37093OtherBLUE CROSS BLUE SHIELD
47055240700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20031218000515 NE Practitioner - Optometry 2860399615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Family EyecareGroup PAC ID 3678587151, 2 clinicians

Practice addresses (Care Compare)

801 N Grant St
Lexington, NE 68850-1927
Phone (308) 324-5631

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1204NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Family Eyecare Optometrist Current Accepting new patients
First Insight Eyecare, LLC Optometrist Past Accepting new patients
Koch Chiropractic Clinic LLC Past Accepting new patients

Locations

801 N Grant St
Lexington, NE 68850
Phone (308) 324-5631

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699852145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500637",
            "telephone_number": "308-324-5631",
            "fax_number": "308-324-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRANT ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500637",
            "telephone_number": "308-324-5631",
            "fax_number": "308-324-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIM",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055240700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.