Provider Demographics
NPI:1902987340
Name:SEABERT EYE CARE, PC
Entity Type:Organization
Organization Name:SEABERT EYE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEABERT
Authorized Official - Suffix:II
Authorized Official - Credentials:OD
Authorized Official - Phone:817-297-3736
Mailing Address - Street 1:1305 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-8681
Mailing Address - Country:US
Mailing Address - Phone:817-297-3736
Mailing Address - Fax:817-297-3749
Practice Address - Street 1:1305 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8681
Practice Address - Country:US
Practice Address - Phone:817-297-3736
Practice Address - Fax:817-297-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6103TG152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5938230001Medicare NSC
TX00X240Medicare PIN