Tara Seymour, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14947 TLG Issued in CA

Practice address

27901 Glenfield Cir
Laguna Niguel, CA 92677-3755

Phone

(707) 318-3451

NPI assigned

Nov 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aeg Connecticut Professional PLLC

  • Optometrist
  • Alton, IL
  • NPI 1023883675
  NPD (past)

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1871999896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 GLENFIELD CIR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773755",
            "telephone_number": "707-318-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 GLENFIELD CIR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773755",
            "telephone_number": "707-318-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "TARA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2949",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14947 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniors Paradise LLC
• Brian Serrano, PHD, ATC, CSCS, CES
• Jacqueline Evamarie Serrano, DC
• Christine Servando
• Patrick Seweje, DPT
• Shaam Business Corp
• Karmen Shadani, NP
• Shahrzad Shadmani, NP
• Nadia Shah
• Mani Foad Shahab, LA.C

• Optometrist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.