Alan Howard Siegel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1190 Issued in FL

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

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

New England College of Optometry, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lucie Eye Associates MD PAGroup PAC ID 3577549864, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.52 of 100Reported as group

Quality

100

Improvement activities

40

Cost

41.73

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Lucie Eye Associates MD PA

  • Ophthalmology Physician
  • Fort Pierce, FL
  • NPI 1144242058
  Medicare reassignment Care Compare group NPD
• St. Lucie Eye Associates, M.D. P.a.

  • Ophthalmology Physician
  • Port St Lucie, FL
  • NPI 1841819166
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1700957313",
    "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": {
        "last_name": "SIEGEL",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1190",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "1190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19745",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "SI142924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "4066210001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPA-EYEMED",
            "identifier": "111512",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5124007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VCA",
            "identifier": "91471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3515",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410046674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GVA",
            "identifier": "36080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "86030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "OP-0001190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Aurora Shrake
• Sandra L Shuleshko, LMHC
• Moraima Altagracia Shulterbrandt
• Neveen Siblini, APRN
• Jennifer Sickles, PHARMD
• Katherin Esther Sierra de Loyola
• Sierra Life Coaching
• Pavel Sigel, M.D.
• Lisa Silverberg, DDS
• Ronald J Silverberg, DC

• 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 Feb 27, 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.

Verify at the official NPI Registry.