Matthew A. Siemer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1901 Issued in KS

Practice address

21 N 12TH St
Kansas City, KS 66102-5161

Phone

(913) 342-4405

NPI assigned

Jul 27, 2009

Last updated

Jan 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norris and Kelly PAGroup PAC ID 5890747711, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Norris and Kelly, P.a.

  • Optometrist
  • Leavenworth, KS
  • NPI 1467440305
  Medicare reassignment Care Compare group NPD
• Family Eyecare Center Lansing LLC

  dba Lansing Family Eyecare Center

  • Optometrist
  • Lansing, KS
  • NPI 1578854451
  Medicare reassignment NPD
• Family Eyecare Center of Bonner Springs LLC

  • Optometrist
  • Bonner Springs, KS
  • NPI 1730514878
  Medicare reassignment NPD
• Family Eyecare Center of Desoto Kansas LLC

  • Optometrist
  • De Soto, KS
  • NPI 1033009915
  Medicare reassignment NPD
• Wyandotte Family Eyecare Center, LLC

  • Optometrist
  • Kansas City, KS
  • NPI 1306181367
  Medicare reassignment

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1215168141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 10TH AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484214",
            "telephone_number": "913-682-2929",
            "fax_number": "913-682-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "913-342-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMER",
        "first_name": "MATTHEW",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7447TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "1901",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Frederick Shuler, MD
• Enaam Myriam Shull, MA SLP-CCC
• Linnae Ann Sidinger, DO
• Benjamin Harris Siebert
• Tracy Siefken, PTA
• Catherine Frances Siengsukon, PT
• Sarah Sierks, AGACNP-BC
• Rachel Sigler, D.O.
• Signature Medical Group of KC, PA
• Lisa Silverman

• Optometrist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.