Individual
DANIEL D SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2040 WOODSON RD, SUITE 100, OVERLAND, MO 63114-3629
(314) 427-1519
(314) 427-1522
Mailing address
2040 WOODSON RD, SUITE 100, OVERLAND, MO 63114-5644
(314) 427-1519
(314) 427-1522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02387
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
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
01/13/2006
Last updated
04/25/2017
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