Organization Active NPI

Pease-Sieber Eye Associates, P.C.

Doing business as Leading Edge Eyecare

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1710049143
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000196 Issued in PA
Legal business name
PEASE-SIEBER EYE ASSOCIATES, P.C.
Doing business as
Leading Edge Eyecare
Practice address
3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465
Phone
(717) 564-5211
Fax
(717) 564-5280
NPI assigned
Dec 14, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Audra Warren Sieber, O.D.NPI 1386639326
Title
President
Phone
(717) 564-5211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000196 PA Primary
Low Vision Rehabilitation Optometrist 152WL0500X OEG001334 PA

Addresses

Primary practice location

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465

Mailing address

3950 Tecport Dr
Suite 170
Harrisburg, PA 17111-1465
Phone (717) 564-5211

Other names 1

  • Leading Edge Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000279 PA Part B Supplier - Clinic/Group Practice 9739126582 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2097990Leading Edge Eyecare3950 Tecport Drive, Suite 170, Harrisburg, PA 17111Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

3950 Tecport Dr
Ste 170
Harrisburg, PA 17111
Phone (717) 564-5211

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1710049143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR",
            "address_2": "SUITE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111465",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 TECPORT DR",
            "address_2": "SUITE 170",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111465",
            "telephone_number": "717-564-5211",
            "fax_number": "717-564-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEASE-SIEBER EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SIEBER",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-564-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000196",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG001334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leading Edge Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.