Provider Demographics
NPI:1114911476
Name:SEILER, DONALD J (OD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:SEILER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3626
Mailing Address - Country:US
Mailing Address - Phone:908-918-0377
Mailing Address - Fax:908-918-0109
Practice Address - Street 1:323 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3626
Practice Address - Country:US
Practice Address - Phone:908-918-0377
Practice Address - Fax:908-918-0109
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 04197152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2095103OtherAETNA
144687OtherCOLE VISION
311111OtherNVA
144687OtherCOLE VISION