MEDICARE: BRUCE J SEILER OD

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	332H00000X	Eyewear Supplier	OEG000962	PA

General Provider Information

NPI Number	:	1386816999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE J SEILER OD

Provider Business Mailing Address
First Line	:	7215 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-1010
Country	:	US
Telephone Number	:	215-338-3849
Fax Number	:	215-708-2136

Provider Business Practice Location Address
First Line	:	7215 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-1010
Country	:	US
Telephone Number	:	215-338-3849
Fax Number	:	215-708-2136

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	BRUCE J SEILER
Credential	:	OD
Telephone Number	:	215-338-3849

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	03/25/2008

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