MEDICARE: SEA-VIEW OPTICAL INC

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	332BC3200X	Customized Equipment (DME)	1387	FL

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	:	1740273879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEA-VIEW OPTICAL INC

Provider Business Mailing Address
First Line	:	1715 S FEDERAL HWY
Second Line	:	SUITE C-1
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3329
Country	:	US
Telephone Number	:	561-276-5099
Fax Number	:	561-274-9697

Provider Business Practice Location Address
First Line	:	1715 S FEDERAL HWY
Second Line	:	SUITE C-1
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3329
Country	:	US
Telephone Number	:	561-276-5099
Fax Number	:	561-274-9697

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MR. RICHARD W BERGIDA
Credential	:	DO
Telephone Number	:	561-276-5099

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	06/25/2008

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Directions to “SEA-VIEW OPTICAL INC ” Practice Location

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