Individual provider Active NPI

Beth Wingate Seay, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1811148588
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002496 Issued in GA
Practice address
2549 Piedmont Rd NE
Atlanta, GA 30324-3023
Phone
(404) 467-0717
Fax
(404) 869-7442
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002496 GA Primary

Addresses

Primary practice location

2549 Piedmont Rd NE
Atlanta, GA 30324-3023

Mailing address

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

Other practice location 1

2000 N Point Cir
J.C. Penny Optical
Alpharetta, GA 30022-4859
Phone (770) 619-0081

Other practice location 2

2549 Piedmont Rd NE
Atlanta, GA 30324-3023
Phone (404) 467-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110914000784 GA Practitioner - Optometry 9133390511 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002496GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolt Eye Group-Canton LLC Optometrist CurrentSince Oct 10, 2023 Accepting new patients
Bolt Eye Group-East Cobb LLC Optometrist CurrentSince Jan 14, 2024 Accepting new patients
Eye to Eye Vision Center CurrentSince Jan 14, 2024 Accepting new patients

Locations

2060 Cumming Hwy
Ste 400
Canton, GA 30115
Phone (770) 615-2007

2255 Sewell Mill Rd
Ste 310
Marietta, GA 30062
Phone (770) 578-1900

Organizations & group practices 3

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1811148588",
    "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": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243023",
            "telephone_number": "404-467-0717",
            "fax_number": "404-869-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 N Point Cir",
            "address_2": "J.C. Penny Optical",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300224859",
            "country_code": "US",
            "telephone_number": "770-619-0081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2549 Piedmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303243023",
            "country_code": "US",
            "telephone_number": "404-467-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAY",
        "first_name": "BETH",
        "middle_name": "WINGATE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.