Brent Segeleon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001521 Issued in VA

Practice address

5273 John Tyler Hwy
Williamsburg, VA 23185-2553

Phone

(757) 903-2633

Fax

(757) 903-2634

NPI assigned

Aug 1, 2006

Last updated

Jul 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colonial Eye Care, PLCGroup PAC ID 5991994329, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colonial Eye Care, PLC

  • Optometrist
  • Williamsburg, VA
  • NPI 1467766279
  Medicare reassignment Care Compare group Authorized official
• Chesapeake Eye Physicians, PLC

  dba Chesapeake Eye Care and Laser Center

  • Ophthalmology Physician
  • Chesapeake, VA
  • NPI 1831288257
  NPD (past)
• Dr. Kenneth a Lebow

  • Optometrist
  • Virginia Beach, VA
  • NPI 1861694291
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1386650042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5273 JOHN TYLER HWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852553",
            "telephone_number": "757-903-2633",
            "fax_number": "757-903-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5273 JOHN TYLER HWY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852553",
            "telephone_number": "757-903-2633",
            "fax_number": "757-903-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGELEON",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010307571",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sea Breeze Counseling & Wellness, LLC
• Sea Change Therapy PLLC
• Charles Seager, M.D.
• Kevin Scott Sears
• Sebastiana G Springmann DDS PC (New Town Dental Arts)
• Catherine Seifert, BSDH,RDH,FAADH,OSE
• Sentara Enterprises (Sentara Home Care Services)
• Sentara Enterprises
• Sentara Hospitals
• Sentara Hospitals (Sentara Williamsburg Regional Medical Center)

• Optometrist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.