Active NPI
Glenn Seifert
- Corneal and Contact Management Optometrist
- Hampton Bays, NY
National Provider Identifier
1992795678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- VUT003485-1
- Practice address
- 4 Springville Rd
Hampton Bays, NY 11946-2290 - Phone
- (631) 728-3132
- Fax
- (631) 728-0976
- NPI assigned
- Oct 25, 2005
- Last updated
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | VUT003485-1 | NY | Primary |
Addresses
Primary practice location
4 Springville Rd
Hampton Bays, NY 11946-2290
Mailing address
4 Springville Rd
Hampton Bays, NY 11946-2290
Phone (631) 728-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3485 | NY | MD | Psychologist |
| VUT003485-1 | NY | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Condon Medical PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4
- lkeyser@seiferteyeassociates.eyefinitydirect.com
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Commack, NY
- NPI 1811174519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1992795678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SPRINGVILLE RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119462290",
"telephone_number": "631-728-3132",
"fax_number": "631-728-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SPRINGVILLE RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119462290",
"telephone_number": "631-728-3132",
"fax_number": "631-728-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFERT",
"first_name": "GLENN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "VUT003485-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.