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Organization

DANIEL D SEIBERT OD PC

Active
Other names
OVERLAND EYE ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL D SEIBERT OD (OWNER)
(314) 427-1519
Entity
Organization

Contact information

Practice address
2040 WOODSON RD, SUITE 100, OVERLAND, MO 63114-5644
(314) 427-1519
Mailing address
2040 WOODSON RD, SUITE 100, OVERLAND, MO 63114-5644

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02387
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659487387
NPI DR ALEXANDEER HARRIS
MO
01
1659592160
GROUP NPI
MO
01
1962481390
NPI DR SEIBERT
MO
05
310935739
MO
01
500104104
MEDICAID GROUP
MO
01
990001715
GROUP MEDICARE
MO
Enumeration date
05/01/2007
Last updated
03/09/2011
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