Individual provider Active NPI

Rand W Siekert, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1902978372
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
931 Issued in AZ
Practice address
707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848
Phone
(520) 694-1460
Fax
(520) 694-1464
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 931 AZ Primary

Addresses

Primary practice location

707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848

Mailing address

575 E River Rd
Tucson, AZ 85704-5822
Phone (520) 874-7400

Other identifiers 1

IdentifierTypeStateIssuer
356304MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100504000492 AZ Practitioner - Optometry 8921136441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Eye Care PCGroup PAC ID 4183715378, 8 clinicians

Practice addresses (Care Compare)

4709 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 731-5500

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
931AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Eye Care, PC Ophthalmology CurrentSince Jan 20, 2020 Accepting new patients

Locations

4709 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 722-4700

Interoperability endpoints

  • Direct secure messaging: rwsiekert@tucsoneyecare.direct.eyemdemr.com

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902978372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045822",
            "telephone_number": "520-874-7400",
            "fax_number": "520-874-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111848",
            "telephone_number": "520-694-1460",
            "fax_number": "520-694-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEKERT",
        "first_name": "RAND",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356304",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.