Provider Demographics
NPI:1609836345
Name:SEABERT, WILLIAM RUSSELL II (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RUSSELL
Last Name:SEABERT
Suffix:II
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 1:1305 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6103TG152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU97289Medicare UPIN
TX5938230001Medicare NSC
TX8F4414Medicare PIN