Seth J Summers OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003383A Issued in IN

Legal business name

SETH J SUMMERS OD PSC

Practice address

4036 1/2 Dutchmans Lane
Louisville, KY 40207

Phone

(502) 895-2020

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Seth James Summers, O.D.NPI 1154332203

Title

President

Phone

(502) 895-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seth James Summers, OD

  • Optometrist
  • Louisville, KY
  • NPI 1154332203
  Medicare reassignment NPD Authorized official
• Dani Joelle Gogel, O.D.

  • Optometrist
  • Shepherdsville, KY
  • NPI 1629416748
  Medicare reassignment NPD
• Nevin Shane McIvor, M.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1760541718
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1952592263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 1/2 DUTCHMANS LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 1/2 DUTCHMANS LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH J SUMMERS OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-895-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003383A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001642",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yailen Serrano, RN
• Anthony Servey, PTA
• Praveen Seshabhattar, M.D.
• Nora Umali Sessoms, M.D.
• Isabella Sester
• Seth W. Pois, M.D., PSC
• Belinda K Setters, MD
• Christy Ann Settle
• Willie L Settle, PT
• Dana Marie Settles, M.D.

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.