Individual
DR. SANFORD LEWIS SEVERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OOC236190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708
MEDICAL EYE SERVICES
CA
01
—
180046438
RAIL ROAD MEDICARE
CA
05
—
CGP164916
—
CA
01
—
ZZZ057067
BLUE CROSS
CA
01
—
ZZZ05706Z
BLUE SHIELD
CA
Enumeration date
06/17/2005
Last updated
03/08/2016
Update your record
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