MEDICARE: RONALD G. SEGER AND JENIFER E.L. WEBB OPTOMETRISTS

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	152W00000X	Optometrist	05772T	CA

General Provider Information

NPI Number	:	1124104773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD G. SEGER AND JENIFER E.L. WEBB OPTOMETRISTS

Provider Business Mailing Address
First Line	:	419 N SHORELINE BLVD
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-4605
Country	:	US
Telephone Number	:	650-967-5789
Fax Number	:	650-967-4106

Provider Business Practice Location Address
First Line	:	1150 W EL CAMINO REAL
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2518
Country	:	US
Telephone Number	:	650-967-5789
Fax Number	:	650-967-4106

Authorized Official
Title or Position	:	OPTOMETRIST/PARTNER
Name	:	DR. RONALD GLENN SEGER
Credential	:	O.D., F.A.A.O.
Telephone Number	:	650-967-5789

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/21/2022

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