MEDICARE: DR. SEAN M POWELL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10461T	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	203384798	OTHER	KS	FREEDOM NETWORK
2	20338479866220A003	OTHER	KS	TRICARE
3	7837448	OTHER	KS	AETNA
4	31707044	OTHER	KS	BC/BS OF KC

General Provider Information

NPI Number	:	1386607232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN M POWELL O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	7457 LAS COLINAS BLVD STE 100
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	214-382-3061
Fax Number	:	214-382-3071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	05/05/2026

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Directions to “ DR. SEAN M POWELL O.D.” Practice Location

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