Michael Joseph Siebert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1547 Issued in SC

Practice address

205 W Blackstock Rd Ste 150
Spartanburg, SC 29301-3205

Phone

(864) 574-8454

Fax

(864) 576-4748

NPI assigned

Jun 12, 2006

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Eyecare, LLC

  • Optometrist
  • Elkins, WV
  • NPI 1396592382

  SC

  Medicare reassignment NPD
• Oberle Opticians

  • Optician
  • Surfside, FL
  • NPI 1306066337
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1932141850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HAYNE ST UNIT 224",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015108",
            "telephone_number": "305-672-8513",
            "fax_number": "864-576-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BLACKSTOCK RD STE 150",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013205",
            "telephone_number": "864-574-8454",
            "fax_number": "864-576-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D15473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison M Shuman, BA
• Daniel Joseph Shuster, MD
• Arlene Si
• Farhaj Siddiqui, M.D.
• Farhan Siddiqui, M.D.
• Scott Michael Silver, MD
• John Walton Simmons Sr., MD
• Mary Elizabeth Simmons, LPC
• Taylor Marie Simmons, D.O.
• Ifekan-Shango Simon

• Optometrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.