Active NPI
Seibert Mobile Optometry LLC
- Optometrist
- Jefferson City, MO
National Provider Identifier
1679017362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02387
- Legal business name
- SEIBERT MOBILE OPTOMETRY LLC
- Practice address
- 221 Bolivar St
Jefferson City, MO 65101-1572 - Phone
- (502) 579-1797
- Fax
- (502) 996-8282
- NPI assigned
- Dec 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Seibert, OD
- Title
- Owner
- Phone
- (502) 579-1797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02387 | MO | Primary |
Addresses
Primary practice location
221 Bolivar St
Jefferson City, MO 65101-1572
Mailing address
221 Bolivar St
Jefferson City, MO 65101-1572
Phone (502) 579-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170330000287 | MO | Part B Supplier - Clinic/Group Practice | 7517242746 |
Receives reassigned benefits from 13 practitioners Practice locations: Saint Louis, MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Washington, MO
- NPI 1659421303
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1679017362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BOLIVAR ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651011572",
"telephone_number": "502-579-1797",
"fax_number": "502-996-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BOLIVAR ST",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651011572",
"telephone_number": "502-579-1797",
"fax_number": "502-996-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEIBERT MOBILE OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-14",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "SEIBERT",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-579-1797",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T02387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.