Marie Lauretta Seide-Justin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC003955 Issued in FL

Practice address

6601 Old Winter Garden Rd
Unit 104
Orlando, FL 32835-1370

Phone

(407) 292-9812

Fax

(407) 292-9813

NPI assigned

Jun 8, 2006

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Optometry

Education

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Millennium Eye Center, Inc.

  • Optometrist
  • Orlando, FL
  • NPI 1790721652
  Medicare reassignment NPD Authorized official
• 3D Vision Eye Surgery Center

  dba FERST: Florida Eye Research and Surgical Therapy Institute

  • Ophthalmology Physician
  • Daytona Beach, FL
  • NPI 1245569508
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1760423271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 OLD WINTER GARDEN RD",
            "address_2": "SNIT 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351370",
            "telephone_number": "407-292-9812",
            "fax_number": "407-292-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 OLD WINTER GARDEN RD",
            "address_2": "UNIT 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328351370",
            "telephone_number": "407-292-9812",
            "fax_number": "407-292-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDE-JUSTIN",
        "first_name": "MARIE",
        "middle_name": "LAURETTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrain Segura, M.D.
• Manu Sehgal, M.D.
• Rishi K Sehgal, MD
• Edita Sehic, APRN
• Matthew A Seibel, MD
• Ahmed Seidu, PTA
• Natacha Seidu, ARNP
• Mottie Seifan, DDS
• Hani B Seifein, MD
• Barbara A Seifert, PH. D.

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.