Individual
DR. CELESTE SEADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 S WALTERS AVE, HODGENVILLE, KY 42748-1533
(270) 358-8141
Mailing address
109 S WALTERS AVE, HODGENVILLE, KY 42748-1533
(270) 358-8141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1639DT
KY
152W00000X
Optometrist
18003362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532002
ANTHEM BCBS
KY
01
—
000000533153
ANTHEM BCBS
KY
01
—
5419240003
MEDICARE NSC - DMERC
KY
01
—
5419240012
MEDICARE NSC - DMERC
KY
05
—
77001394
—
KY
01
—
P00609334
RR MEDICARE
KY
Enumeration date
07/17/2006
Last updated
02/19/2014
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