Carl Conrad Seutter IV, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

211 Issued in AK

Practice address

1000 E Northern Lights Blvd
Anchorage, AK 99508-4218

Phone

(907) 279-8651

NPI assigned

Jun 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720284045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 GRIZZLY BEAR DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542721",
            "telephone_number": "907-376-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084218",
            "telephone_number": "907-279-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUTTER",
        "first_name": "CARL",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.