Peter S Siedman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4066 Issued in FL

Practice address

7107 Lake Worth Rd
Lake Worth, FL 33467-2906

Phone

(561) 966-2212

Fax

(561) 966-2215

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye-Site Too

  • Eyewear Supplier
  • Lake Worth, FL
  • NPI 1679712343
  NPD (past)
• The Wizard of Eyes of S FL Inc

  • Optician
  • Lake Worth, FL
  • NPI 1184757296
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548312010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672906",
            "telephone_number": "561-966-2212",
            "fax_number": "561-966-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672906",
            "telephone_number": "561-966-2212",
            "fax_number": "561-966-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDMAN",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Shovick, ARNP
• Shtulman Family Chiropractic, PA
• Ian Wayne Shtulman, D.C.
• Howard Barry Shullman, DMD
• Jeny G Siatkowski, PTA
• Sylvia L Siegfried, M.D.
• Gilbert Sierra
• Naim T Sierra
• Tanya Malinsky Siff, P.H.D
• Arlenis Silva, PSYD

• Optometrist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.