Individual provider Active NPI

Seymour Besem, O.D.

  • Occupational Vision Optometrist
  • Los Angeles, CA
National Provider Identifier
1275626228
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
5817TPL Issued in CA
Practice address
998 S Robertson Blvd
#204
Los Angeles, CA 90035-1637
Phone
(310) 659-4644
NPI assigned
Oct 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5817TPL CA
Corneal and Contact Management Optometrist 152WC0802X 5817TPL CA
Low Vision Rehabilitation Optometrist 152WL0500X 5817TPL CA
Pediatric Optometrist 152WP0200X 5817TPL CA
Sports Vision Optometrist 152WS0006X 5817TPL CA
Vision Therapy Optometrist 152WV0400X 5817TPL CA
Occupational Vision Optometrist 152WX0102X 5817TPL CA Primary

Addresses

Primary practice location

998 S Robertson Blvd
#204
Los Angeles, CA 90035-1637

Mailing address

998 S Robertson Blvd
#204
Los Angeles, CA 90035-1637
Phone (310) 659-4644

Other identifiers 2

IdentifierTypeStateIssuer
SD0058170MedicaidCA
5817TPLOtherCALINCENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5817TPLCAMDLow Vision Rehabilitation Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275626228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 S ROBERTSON BLVD",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351637",
            "telephone_number": "310-659-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 S ROBERTSON BLVD",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351637",
            "telephone_number": "310-659-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESEM",
        "first_name": "SEYMOUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "5817TPL",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "5817TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINCENSE NUMBER",
            "identifier": "5817TPL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.