Individual provider Active NPI

Beth Seidman, O.D.

  • Optometrist
  • Littleton, CO
National Provider Identifier
1730596545
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003073 Issued in CO
Practice address
8321 Sangre de Cristo Rd Ste 104
Littleton, CO 80127-6426
Phone
(303) 973-6333
NPI assigned
Jul 14, 2014
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003073 CO Primary
Corneal and Contact Management Optometrist 152WC0802X OPT 0003073 CO

Addresses

Primary practice location

8321 Sangre de Cristo Rd Ste 104
Littleton, CO 80127-6426

Mailing address

8321 Sangre de Cristo Rd Ste 104
Littleton, CO 80127-6426
Phone (303) 973-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140828002425 CO Practitioner - Optometry 6709004930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Center of Ken Caryl PCGroup PAC ID 7810299567, 2 clinicians

Practice addresses (Care Compare)

8321 Sangre de Cristo Rd
Suite 104
Littleton, CO 80127-6426
Phone (303) 973-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003073COMDOptometrist
OPT 0003073COMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Center of Ken Caryl, PC Optometrist CurrentSince Oct 1, 2015 Accepting new patients

Locations

8321 Sangre de Cristo Rd
Ste 104
Littleton, CO 80127
Phone (303) 973-6333

Organizations & group practices 1

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1730596545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 SANGRE DE CRISTO RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276426",
            "telephone_number": "303-973-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 SANGRE DE CRISTO RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276426",
            "telephone_number": "303-973-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003073",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "OPT 0003073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.