MARISSA RENEE SEIDER (OD) – Optometrist, NPI 1558048728

MARISSA RENEE SEIDER (OD) is a healthcare provider. based in Newfane, New York. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 009849 (NY). The NPI Number for MARISSA RENEE SEIDER (OD) is 1558048728

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA RENEE SEIDER (OD)
NPI
1558048728
Phone
(716) 343-3207
Address
3768 COOMER RD
Enumeration Date
29 June 2023
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7165642020
Graduation Year
2023 (3 years ago)
PAC ID
6305206277
Group Practice PAC ID
0446228597
Professional Enrollment ID
I20230724003754
Address ID
NY142282021AM2825XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

Provider Addresses for MARISSA RENEE SEIDER (OD)

  • 3768 COOMER RD

    NEWFANE, NY 141089617

    Phone: (716) 343-3207

    Type: Mailing

  • 2825 NIAGARA FALLS BLVD STE 130

    AMHERST, NY 142282021

    Phone: (716) 564-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $2,522.

Total Amount is formed as General ($2,522) + Research ($0) + Ownership ($0) = $2,522.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Alcon Vision LLC ($1,668).

Total Amount

$2,522

General + Research + Ownership

Payments

35

Total payment records

General Amount

$2,522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230724003754IOptometryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2424$0
View full utilization report →

Insurance plans in this area (ZIP 14108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446228597View full group profile
NameSpecialtyState
O P T O M E T R YNY
O P T O M E T R YNY
-NY
O P H T H A L M O L O G YNY
O P T O M E T R YNY
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YRI
Certified Registered Nurse Anesthetist (Crna)NY
O P T O M E T R YNY
O P H T H A L M O L O G YNY

Reviews

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Frequently asked questions

What NPI should I save for MARISSA RENEE SEIDER (OD)?
Save NPI 1558048728 if you need a stable reference for MARISSA RENEE SEIDER (OD).
Is MARISSA RENEE SEIDER (OD) currently active in the NPI registry?
CMS-published data lists MARISSA RENEE SEIDER (OD) as an active registrant.
Can you summarize MARISSA RENEE SEIDER (OD)'s specialty in plain language?
Clinically, the directory lists MARISSA RENEE SEIDER (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is MARISSA RENEE SEIDER (OD)'s primary listing?
We display Newfane, New York because that is what the record indicates for MARISSA RENEE SEIDER (OD).
Is MARISSA RENEE SEIDER (OD) a real provider?
This page reflects official NPPES data for NPI 1558048728. Always confirm identity and privileges with the practice and licensing boards.

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