Individual provider Active NPI

Lawrence Joseph Sieve III, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1225443732
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1990 Issued in KS
Practice address
1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641
Phone
(714) 352-2911
Fax
(714) 352-2903
NPI assigned
Jun 23, 2014
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1990 KS Primary

Addresses

Primary practice location

1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641

Mailing address

1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20171106003132 CA Practitioner - Optometry 1153542832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serve the People, Inc.Group PAC ID 4880872795, 5 clinicians

Practice addresses (Care Compare)

1206 E 17TH St
Suite 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33576CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serve the People, Inc CurrentSince May 19, 2021 Accepting new patients

Locations

1206 E 17th St
Ste 101
Santa Ana, CA 92701
Phone (714) 352-2911

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1225443732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 17TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012641",
            "telephone_number": "714-352-2911",
            "fax_number": "714-352-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 17TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012641",
            "telephone_number": "714-352-2911",
            "fax_number": "714-352-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVE",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.