Individual provider Active NPI

Audra Warren Sieber, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1386639326
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000196 Issued in PA
Practice address
3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465
Phone
(717) 564-5211
Fax
(717) 564-5280
NPI assigned
Sep 15, 2005
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000196 PA Primary

Addresses

Primary practice location

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465

Mailing address

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465
Phone (717) 564-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101012000367 PA Practitioner - Optometry 8123122546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pease Sieber Eye Associates PCGroup PAC ID 9739126582, 2 clinicians

Practice addresses (Care Compare)

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1472
Phone (717) 564-5211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pease-Sieber Eye Associates, P.C. Optometrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

3950 Tecport Dr
Ste 170
Harrisburg, PA 17111
Phone (717) 564-5211

4829 Derry St
Harrisburg, PA 17111
Phone (717) 533-2235

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1386639326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR",
            "address_2": "SUITE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111465",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR",
            "address_2": "SUITE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111465",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBER",
        "first_name": "AUDRA",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.