MEDICARE: ARTHUR LEONARD SIEGEL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WL0500X	Low Vision Rehabilitation Optometrist	27TO00032203	NJ
2	152W00000X	Optometrist	27OA00355100	NJ
3	152W00000X	Optometrist	27OA00355104	NJ
4	152W00000X	Optometrist	OE008512P	PA
5	152WL0500X	Low Vision Rehabilitation Optometrist	27OA00355100	NJ
6	152WL0500X	Low Vision Rehabilitation Optometrist	OE008512P	PA
7	152WL0500X	Low Vision Rehabilitation Optometrist	27OA00355104	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225034325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR LEONARD SIEGEL O.D.

Provider Business Mailing Address
First Line	:	25 HOMESTEAD DR STE A
Second Line	:
City	:	COLUMBUS
State	:	NJ
Zip	:	08022-1005
Country	:	US
Telephone Number	:	609-298-0888
Fax Number	:	609-291-1972

Provider Business Practice Location Address
First Line	:	25 HOMESTEAD DR STE A
Second Line	:
City	:	COLUMBUS
State	:	NJ
Zip	:	08022-1005
Country	:	US
Telephone Number	:	609-298-0888
Fax Number	:	609-291-1972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/31/2022

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