Provider Demographics
NPI:1427027853
Name:SEM, STEVEN ROGER (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROGER
Last Name:SEM
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 SWEETGRASS CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-1325
Mailing Address - Country:US
Mailing Address - Phone:406-454-2020
Mailing Address - Fax:
Practice Address - Street 1:411 SWEETGRASS CT
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-1325
Practice Address - Country:US
Practice Address - Phone:406-454-2020
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT383152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist