NPIMap

Organization Active NPI

Daniel D Seibert OD PC

Doing business as Overland Eye Associates

  • Optometrist
  • Overland, MO
National Provider Identifier
1659592160
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02387 Issued in MO
Legal business name
DANIEL D SEIBERT OD PC
Doing business as
Overland Eye Associates
Practice address
2040 Woodson Rd
Suite 100
Overland, MO 63114-5644
Phone
(314) 427-1519
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Daniel D Seibert, ODNPI 1962481390
Title
Owner
Phone
(314) 427-1519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T02387 MO Primary

Addresses

Primary practice location

2040 Woodson Rd
Suite 100
Overland, MO 63114-5644

Mailing address

2040 Woodson Rd
Suite 100
Overland, MO 63114-5644

Other identifiers 6

IdentifierTypeStateIssuer
310935739MedicaidMO
1659592160OtherMOGROUP NPI
500104104OtherMOMEDICAID GROUP
1962481390OtherMONPI DR SEIBERT
990001715OtherMOGROUP MEDICARE
1659487387OtherMONPI DR ALEXANDEER HARRIS

Other names 1

  • OVERLAND EYE ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000120 MO Part B Supplier - Clinic/Group Practice 7315977873 Receives reassigned benefits from 2 practitioners
Practice locations: Overland, MO

National Provider Directory

National Provider Directory

Locations

2040 Woodson Rd
Ste 100
Saint Louis, MO 63114
Phone (314) 427-1519

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1659592160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WOODSON RD",
            "address_2": "SUITE 100",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WOODSON RD",
            "address_2": "SUITE 100",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145644",
            "telephone_number": "314-427-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D SEIBERT OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-427-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310935739",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1659592160",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "500104104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR SEIBERT",
            "identifier": "1962481390",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "990001715",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR ALEXANDEER HARRIS",
            "identifier": "1659487387",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERLAND EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.