MEDICARE: ROBERT SEIM OD, PC

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	152WC0802X	Corneal and Contact Management Optometrist	0618000932	VA
2	152WL0500X	Low Vision Rehabilitation Optometrist	0618000932	VA
3	152W00000X	Optometrist	0618000932	VA

General Provider Information

NPI Number	:	1801903745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT SEIM OD, PC

Provider Business Mailing Address
First Line	:	4217 VIRGINIA BEACH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1232
Country	:	US
Telephone Number	:	757-340-7070
Fax Number	:	757-340-7500

Provider Business Practice Location Address
First Line	:	4217 VIRGINIA BEACH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1232
Country	:	US
Telephone Number	:	757-340-7070
Fax Number	:	757-340-7500

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT P SEIM
Credential	:	OD
Telephone Number	:	757-340-7070

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/03/2012

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