KENT M. SIEBOLDT, OD, PA
NPI 1134441132
Optometrist in Brandon, FL
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
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kent M. Sieboldt, Od, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kent M. Sieboldt, Od, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAAccepts 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.
Medicare Product Categories
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.
Is Kent M. Sieboldt, Od, PA enrolled in Medicare?
Yes. Kent M. Sieboldt, Od, PA is registered in the Medicare PECOS enrollment system.
When is Kent M. Sieboldt, Od, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Kent M. Sieboldt, Od, PA holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kent M. Sieboldt, Od, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kent M. Sieboldt, Od, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Kent M. Sieboldt, Od, Pa · NPI 1134441132
Optometrist organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since February 18, 2010.
## Identity
- **NPI:** 1134441132 (Entity type: Organization)
- **Enumerated:** February 18, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Kent Sieboldt, PRESIDENT
## Practice location
- **Address:** 324 E BLOOMINGDALE AVE, Brandon, FL 33511-8155
- **Phone:** (813) 685-2646 · **Fax:** (813) 681-6821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2010
- **Other identifiers:** Medicare UPIN T84246 (FL); Medicaid 086169300 (FL); Medicare PIN 20149 (FL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1134441132) · Data from the CMS NPPES public registry.