GRANT SEALOCK OD
NPI 1023853363
Optometrist in Plymouth, MN

Active since June 27, 2024PECOS EnrolledAccepts Medicare Assignment
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442(763) 559-7358(763) 559-2167 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant Sealock Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT SEALOCK OD (NPI 1023853363) is an individual optometrist in Plymouth, Minnesota, licensed in Minnesota (3951) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023853363
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGRANT SEALOCKCredential: OD
Location Address4455 HIGHWAY 169 NPlymouth, MN 55442-2897
Mailing Address4455 Highway 169 NPlymouth, MN 55442-2897 · (763) 559-7358 · Fax (763) 559-2167
Fax(763) 559-2167
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
NPI 1023853363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · 3951
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4455 HIGHWAY 169 N, Plymouth, MN 55442

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grant Sealock Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113459652
PECOS Enrollment IDI20241022002003
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55442 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Chiropractor
4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Chiropractor
4455 HIGHWAY 169 N, #200
PLYMOUTH, MN 55442
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442
Optometrist
4455 HIGHWAY 169 N
PLYMOUTH, MN 55442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Sealock's NPI number?

The NPI number for Grant Sealock is 1023853363. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Grant Sealock located?

Grant Sealock practices at 4455 Highway 169 N, Plymouth, MN 55442. The listed phone number is (763) 559-7358.

What is Grant Sealock's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grant Sealock enrolled in Medicare?

Yes. Grant Sealock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grant Sealock accept?

Health plans from HealthPartners and Providence Health Plan list Grant Sealock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Sealock was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.