Individual
MATTHEW A. SIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21 N 12TH ST, KANSAS CITY, KS 66102-5161
(913) 342-4405
Mailing address
2301 10TH AVE, LEAVENWORTH, KS 66048-4214
(913) 682-2929
(913) 682-2999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1901
KS
152W00000X
Optometrist
7447TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1901
KANSAS LICENSE
KS
Enumeration date
07/27/2009
Last updated
01/28/2016
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