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KENT M. SIEBOLDT, OD, PA
NPI 1134441132
Optometrist in Brandon, FL

Active since February 18, 2010
324 E BLOOMINGDALE AVE, BRANDON, FL 33511(813) 685-2646(813) 681-6821 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent M. Sieboldt, Od, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT M. SIEBOLDT, OD, PA (NPI 1134441132) is a healthcare organization registered as an optometrist in Brandon, Florida and active in the NPI registry since February 2010. The organization lists Kent M. Sieboldt, President, as its authorized official.

NPPES Registry Identity

NPI1134441132
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENT M. SIEBOLDT, OD, PA
Location Address324 E BLOOMINGDALE AVEBrandon, FL 33511-8155
Mailing Address324 E Bloomingdale AveBrandon, FL 33511-8155 · (813) 685-2646 · Fax (813) 681-6821
Phone(813) 685-2646
Fax(813) 681-6821
Organization SubpartNo
Authorized OfficialKent M. SieboldtPresident · (813) 685-2646
Enumeration DateFebruary 18, 2010
✔ NPI 1134441132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · 2120
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
324 E BLOOMINGDALE AVE, Brandon, FL 33511
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Other Identifiers 5

Medicare UPINT84246FL
Medicaid086169300FL
Medicare PIN20149FL
Other20149Medicare
Medicare NSC0545670002FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Brandon Family Eye Care carries, from the Medicare DMEPOS supplier directory.

Brandon Family Eye Care

DMEPOS supplier · Brandon, FLOperated by Kent M. Sieboldt, Od, PA
✔

Accepts Medicare assignment

Brandon Family Eye Care agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20547251
Medicare Participant SinceDecember 29, 2009
Supplier Location324 E Bloomingdale AveBrandon, FL 33511
Phone(813) 685-2646
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENT M SIEBOLDT O.D.
Optometrist
324 E BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 685-2646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent M. Sieboldt, Od, PA's NPI number?

The NPI number for Kent M. Sieboldt, Od, PA is 1134441132. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Kent M. Sieboldt, Od, PA located?

Kent M. Sieboldt, Od, PA is located at 324 E Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 685-2646.

What is Kent M. Sieboldt, Od, PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Kent M. Sieboldt, Od, PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Brandon Family Eye Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kent M. Sieboldt, Od, PA was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.