Active NPI
Paul J Sietmann, O.D.
- Optometrist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3849TG
- Practice address
- 10363 Ferry Farm LN
Frisco, TX 75035-6955 - Phone
- (214) 886-8013
- NPI assigned
- Sep 20, 2005
- Last updated
- Jan 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3849TG | TX | Primary |
Addresses
Primary practice location
10363 Ferry Farm LN
Frisco, TX 75035-6955
Mailing address
10363 Ferry Farm LN
Frisco, TX 75035-6955
Phone (214) 886-8013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2380 S Goliad St
Suite 100 Key Whitman Eye Center
Rockwall, TX 75032-6504
Phone (214) 754-0000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3849TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| JW Eye Associates, PLLC | Current | Accepting new patients | |
| JW Eye Associates, PLLC | Optometrist | Current | Accepting new patients |
| Ophthalmic Partners, PA | Past | Accepting new patients |
Locations
910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199
11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937
1220 N Town East Blvd
Ste 220
Mesquite, TX 75150
Phone (972) 613-9000
3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020
3021 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (214) 750-0000
2380 S Goliad St
Ste 100
Rockwall, TX 75032
Phone (972) 771-2020
Interoperability endpoints
- psietmann@kwec.intellechartdirect.net
Organizations & group practices 4
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.
-
dba Key Whitman Eye Center
- Ophthalmology Physician
- Dallas, TX
- NPI 1285679803
Optometrist
-
dba Key-Whitman Eye Center
- Ophthalmology Physician
- Rockwall, TX
- NPI 1467927897
-
dba Key-Whitman Eye Center Greenville
- Ophthalmology Physician
- Greenville, TX
- NPI 1518849728
Optometrist
-
- Ophthalmology Physician
- Granbury, TX
- NPI 1568541712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484438400000",
"number": "1558356162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10363 FERRY FARM LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356955",
"telephone_number": "214-886-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10363 FERRY FARM LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356955",
"telephone_number": "214-886-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIETMANN",
"first_name": "PAUL",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2017-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3849TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; 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.