Dr Alan H Siegel P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1190 Issued in FL

Legal business name

DR ALAN H SIEGEL P A

Practice address

10692 S US Highway 1
Suite B
Port St Lucie, FL 34952-6408

Phone

(772) 335-5006

Fax

(772) 335-4672

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan Howard Siegel, O.D.

Title

Optometrist

Phone

(772) 335-5006

Specialties & licenses 2

Addresses

Other identifiers 12

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1679757918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 S US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526408",
            "telephone_number": "772-335-5006",
            "fax_number": "772-335-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 S US HIGHWAY 1",
            "address_2": "SUITE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526408",
            "telephone_number": "772-335-5006",
            "fax_number": "772-335-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALAN H SIEGEL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "772-335-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1190",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "FL1190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VCA",
            "identifier": "91471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "111512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19745",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3515",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AH112",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY",
            "identifier": "SI142924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GVA",
            "identifier": "36080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410046674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "4066210001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5124007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "86030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMP",
            "identifier": "OP-0001190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.