Organization
KENT M. SIEBOLDT, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT M. SIEBOLDT OD (PRESIDENT)
(813) 685-2646
Entity
Organization
Contact information
Practice address
324 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 685-2646
(813) 681-6821
Mailing address
324 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 685-2646
(813) 681-6821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086169300
—
FL
01
—
20149
MEDICARE
—
Enumeration date
02/18/2010
Last updated
02/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us