Siegmund Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

SC1389 Issued in SC

Legal business name

SIEGMUND EYE CARE PA

Practice address

4278 River Oaks Dr
Myrtle Beach, SC 29579-5603

Phone

(843) 796-1155

Fax

(843) 796-1153

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Jason Siegmund, OD

Title

Owner

Phone

(843) 796-1155

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1912021759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4278 RIVER OAKS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795603",
            "telephone_number": "843-796-1155",
            "fax_number": "843-796-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4278 RIVER OAKS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795603",
            "telephone_number": "843-796-1155",
            "fax_number": "843-796-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGMUND EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "SIEGMUND",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-796-1155",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "SC1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - JASON",
            "identifier": "1073675690",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI - KELLE",
            "identifier": "1528120144",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lloyd Shuler, MD
• Teresa Jean Shumway, AU.D., CCC-A, FAAA
• Rima Siddiqui, M.D.
• Samia Joseph Sidrak, RPH
• Dena Siedenburg, RN
• Jason Siegmund, OD
• Kelle Siegmund, OD
• Samuel Sifferlin, DPT
• Richard L. Sigmon Jr., MD
• Alec Sikarin, MD

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.