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NPI Code Detail

MEDICARE: DR. SEYMOUR BESEM O.D.

MEDICARE:  DR. SEYMOUR  BESEM  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
1152W00000XOptometrist5817TPLCA
2152WC0802XCorneal and Contact Management Optometrist5817TPLCA
3152WL0500XLow Vision Rehabilitation Optometrist5817TPLCA
4152WP0200XPediatric Optometrist5817TPLCA
5152WS0006XSports Vision Optometrist5817TPLCA
6152WV0400XVision Therapy Optometrist5817TPLCA
7152WX0102XOccupational Vision Optometrist5817TPLCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15817TPLOTHERCALINCENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275626228
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEYMOUR BESEM O.D.
Provider Business Mailing Address
First Line : 998 S ROBERTSON BLVD
Second Line : #204
City : LOS ANGELES
State : CA
Zip : 90035-1637
Country : US
Telephone Number : 310-659-4644
Fax Number :
Provider Business Practice Location Address
First Line : 998 S ROBERTSON BLVD
Second Line : #204
City : LOS ANGELES
State : CA
Zip : 90035-1637
Country : US
Telephone Number : 310-659-4644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 09/11/2025

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Directions to “ DR. SEYMOUR BESEM O.D.” Practice Location

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