Individual provider Active NPI

John Mark Seacat, O.D.

  • Optometrist
  • Brunswick, GA
National Provider Identifier
1780766139
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002855 Issued in GA
Practice address
4875 Altama Ave
Brunswick, GA 31520-2912
Phone
(912) 554-0010
Fax
(912) 554-0075
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NM464 NM
Optometrist 152W00000X OPT002855 GA Primary

Addresses

Primary practice location

4875 Altama Ave
Brunswick, GA 31520-2912

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120723000354 NM Practitioner - Optometry 4880616572
I20211029000167 GA Practitioner - Optometry 4880616572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Depoe Eye Center PCGroup PAC ID 8224927702, 14 clinicians

Practice addresses (Care Compare)

8080 Wells St
Suite B
Senoia, GA 30276-1905
Phone (770) 415-8902

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
464NMMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care LLC Optometrist CurrentSince Oct 24, 2021 Accepting new patients
Depoe Eye Center PC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Dec 13, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Dec 13, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1030 13th St
Columbus, GA 31901
Phone (706) 327-3937

1498 Merchants Dr
Dallas, GA 30132
Phone (770) 445-2715

128 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3060

681 S 8th St
Griffin, GA 30224
Phone (770) 228-2020

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

5451 Bowman Rd
Ste 420
Macon, GA 31210
Phone (478) 741-3960

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

8080 Wells St
Ste B
Senoia, GA 30276
Phone (770) 415-8902

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

2448 Missouri Ave
Las Cruces, NM 88001
Phone (505) 521-1050

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1780766139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202912",
            "telephone_number": "912-554-0010",
            "fax_number": "912-554-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEACAT",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM464",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.