Provider Demographics
NPI:1174721278
Name:DR. ROBERT W. SEAY & ASSOC. P.C.
Entity type:Organization
Organization Name:DR. ROBERT W. SEAY & ASSOC. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:II
Authorized Official - Credentials:OD
Authorized Official - Phone:812-425-7108
Mailing Address - Street 1:617 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5421
Mailing Address - Country:US
Mailing Address - Phone:812-425-7108
Mailing Address - Fax:812-425-1750
Practice Address - Street 1:617 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5421
Practice Address - Country:US
Practice Address - Phone:812-425-7108
Practice Address - Fax:812-425-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002184261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1145810001OtherMEDICARE DMERC
IN1145810001OtherMEDICARE DMERC