Individual provider Active NPI

Bridget Gabrielle Seeholzer, O.D.

  • Optometrist
  • Irvine, CA
National Provider Identifier
1780083022
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15039 TLG Issued in CA
Practice address
2801 Alton Pkwy Apt 235
Irvine, CA 92606-2184
Phone
(216) 337-0510
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15039 TLG CA Primary

Addresses

Primary practice location

2801 Alton Pkwy Apt 235
Irvine, CA 92606-2184

Mailing address

2801 Alton Pkwy Apt 235
Irvine, CA 92606-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15039 TLGCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1780083022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ALTON PKWY APT 235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ALTON PKWY APT 235",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926062184",
            "telephone_number": "216-337-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEHOLZER",
        "first_name": "BRIDGET",
        "middle_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15039 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.