Kent M. Sieboldt, Od, Pa

LBN: Kent M. Sieboldt, Od, Pa
Kent M. Sieboldt, Od, Pa is an health care organization with primary practice located at 324 E Bloomingdale Ave , Brandon FL 33511-8155. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kent M. Sieboldt, Od, Pa can be contacted via phone (813) 685-2646, or through Sieboldt, Kent M. via phone (813) 685-2646.

Contact Information

Primary practice address
324 E Bloomingdale Ave Brandon FL 33511-8155
Phone: (813) 685-2646
Fax: (813) 681-6821
Website:
Map and Directions
Authorized official contact:
Name: Sieboldt, Kent M. Doctor of Optometry (OD)
Phone: (813) 685-2646

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2120 Florida

Profile Details

NPI number 1134441132
LBN Legal business name Kent M. Sieboldt, Od, Pa
DBA Doing business as
Authorized official Sieboldt, Kent M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134441132 NPPES
Other 20149 MEDICARE
MEDICAID 086169300 MEDICARE

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