Individual
DANIEL D SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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