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DR. SETH JAMES SUMMERS OD
NPI 1154332203
Optometrist in Louisville, KY

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
4036 1/2 DUTCHMANS LANE, LOUISVILLE, KY 40207(502) 894-0322(502) 657-5046 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Dr. Seth James Summers Od NPPES

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

DR. SETH JAMES SUMMERS OD (NPI 1154332203) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (1663DT) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Indiana University - School Of Optometry (2004).

NPPES Registry Identity

NPI1154332203
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SETH JAMES SUMMERSCredential: OD
Location Address4036 1/2 DUTCHMANS LANELouisville, KY 40207
Mailing Address4036 1/2 Dutchmans LaneLouisville, KY 40207 · (502) 894-0322 · Fax (502) 657-5046
Phone(502) 894-0322
Fax(502) 657-5046
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2004
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1154332203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in KY · 1663DT✔ Licensed in IN · 18003383A
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.
4036 1/2 DUTCHMANS LANE, Louisville, KY 40207
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Secondary Practice Location 1

Location 14917 1/2 Dixie Hwy., Suite HLouisville, KY 40216 · Phone (502) 499-1799 · Fax (502) 499-3083

Other Identifiers 1

Medicaid77001642KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Seth James Summers 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 ID4183633316
PECOS Enrollment IDI20070816000117
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,591 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
46 services45 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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

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

SETH J SUMMERS OD PSC
Optometrist
4036 1/2 DUTCHMANS LANE
LOUISVILLE, KY 40207
Jefferson County (502) 895-2020

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 Seth Summers's NPI number?

The NPI number for Seth Summers is 1154332203. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Seth Summers located?

Seth Summers practices at 4036 1/2 Dutchmans Lane, Louisville, KY 40207. The listed phone number is (502) 894-0322.

What is Seth Summers's specialty?

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

Is Seth Summers enrolled in Medicare?

Yes. Seth Summers 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 Seth Summers accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Seth Summers 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 Seth Summers was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.