Spencer Seibert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3508 Issued in MN

Practice address

1307 Albion Ave Ste 102
Fairmont, MN 56031-1850

Phone

(507) 238-4228

Fax

(507) 238-4229

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associate Optometry, P.a.Group PAC ID 7719028661, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.71 of 100Reported as individual

Quality

77.43

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spencers@associateoptometrypa.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associate Optometry, P.a.

  • Optometrist
  • Fairmont, MN
  • NPI 1558344671
  Medicare reassignment Care Compare group NPD
• Associate Optometry, P.a.

  • Optometrist
  • Blue Earth, MN
  • NPI 1326235912
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003345067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ALBION AVE STE 102",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ALBION AVE STE 102",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311850",
            "telephone_number": "507-238-4228",
            "fax_number": "507-238-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 309",
            "address_purpose": "LOCATION",
            "city": "Blue Earth",
            "state": "MN",
            "postal_code": "560130309",
            "country_code": "US",
            "telephone_number": "507-526-2020",
            "fax_number": "507-526-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Schultz, PTA
• Jenny Marie Schwieger, LPCC
• Mary Beth Sebas, FNP
• Amanda Seibert, PHARM. D.
• Paul Alan Seibert, O.D
• Ryan Selbrade
• Kelly Ray Shantz, CRNA
• Timothy Sheneman, D.O.
• Anne Sheppard, RD
• Kristine Marie Shoen, LICSW

• Optometrist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.