Individual provider Active NPI

Robert P Seim, O.D.

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1205812971
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
601800096 Issued in VA
Practice address
4217 Virginia Beach Blvd
Virginia Beach, VA 23452-1232
Phone
(757) 340-7070
Fax
(757) 340-7500
NPI assigned
Dec 15, 2005
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 601800096 VA Primary
Corneal and Contact Management Optometrist 152WC0802X 601800096 VA
Pediatric Optometrist 152WP0200X 601800096 VA
Occupational Vision Optometrist 152WX0102X 601800096 VA

Addresses

Primary practice location

4217 Virginia Beach Blvd
Virginia Beach, VA 23452-1232

Mailing address

4217 Virginia Beach Blvd
Virginia Beach, VA 23452-1232
Phone (757) 340-7070

Other identifiers 2

IdentifierTypeStateIssuer
51-0558604OtherTAXID CORP
401989252OtherVATRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000789 VA Practitioner - Optometry 5991740227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4217 Virginia Beach Blvd
Virginia Beach, VA 23452-1232
Phone (757) 340-7070

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601800096VAMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Seim OD, PC Optometrist CurrentSince Jan 1, 2005 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

4217 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 340-7070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1205812971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521232",
            "telephone_number": "757-340-7070",
            "fax_number": "757-340-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521232",
            "telephone_number": "757-340-7070",
            "fax_number": "757-340-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIM",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "601800096",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "601800096",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "601800096",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "VA",
            "license": "601800096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID CORP",
            "identifier": "51-0558604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "401989252",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.