Individual provider Active NPI

Donald Alan Seibert, OD

  • Optometrist
  • Teays Valley, WV
National Provider Identifier
1699745174
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
898-OD Issued in WV
Practice address
#7 Putnam Village
Teays Valley, WV 25569
Phone
(304) 757-8883
Fax
(304) 757-8883
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 898-OD WV Primary

Addresses

Primary practice location

#7 Putnam Village
Teays Valley, WV 25569

Mailing address

372 Oak LN
Huntington, WV 25704-9393
Phone (304) 617-3785

Other identifiers 1

IdentifierTypeStateIssuer
0150033000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130531000165 WV Practitioner - Optometry 1153569231 Practice locations: Teays Valley, WV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
898-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rovin Inc PastSince Apr 11, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1699745174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 OAK LN",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049393",
            "telephone_number": "304-617-3785",
            "fax_number": "304-757-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#7 PUTNAM VILLAGE",
            "city": "TEAYS VALLEY",
            "state": "WV",
            "postal_code": "25569",
            "telephone_number": "304-757-8883",
            "fax_number": "304-757-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "DONALD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "898-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150033000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teays Valley, WV

Sources for this page

Verify at the official NPI Registry.