Provider Demographics
NPI:1942644133
Name:DAVE, SEEMA M (OD)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:M
Last Name:DAVE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 HUNTINGTON LN UNIT B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4221
Mailing Address - Country:US
Mailing Address - Phone:404-452-6638
Mailing Address - Fax:
Practice Address - Street 1:150 W CARSON STREET
Practice Address - Street 2:CVS OPTICAL
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745
Practice Address - Country:US
Practice Address - Phone:424-210-4081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14588152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist