Individual provider Active NPI

Emily Seuferer, OD

  • Optometrist
  • Waukee, IA
National Provider Identifier
1821841776
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
125871 Issued in IA
Practice address
1350 SE University Ave
Waukee, IA 50263-8933
Phone
(515) 987-3937
NPI assigned
Apr 10, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 125871 IA Primary

Addresses

Primary practice location

1350 SE University Ave
Waukee, IA 50263-8933

Mailing address

400 Maple St
Lucas, IA 50151-9680
Phone (641) 203-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240613003492 IA Practitioner - Optometry 7911440359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eye Care PCGroup PAC ID 0446383327, 10 clinicians

Practice addresses (Care Compare)

2301 Sunset Dr
Suite C
Norwalk, IA 50211-9673
Phone (515) 405-0205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125871IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Eye Care PC Optometrist CurrentSince Jun 17, 2024 Accepting new patients
KNJ Optometry PLC Optometrist PastSince May 12, 2016 Accepting new patients

Locations

1620 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 201-0176

1350 SE University Ave
Waukee, IA 50263
Phone (515) 987-3937

Organizations & group practices 2

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1821841776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAPLE ST",
            "city": "LUCAS",
            "state": "IA",
            "postal_code": "501519680",
            "telephone_number": "641-203-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638933",
            "telephone_number": "515-987-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUFERER",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "125871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.