Colonial Eye Care, PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001521 Issued in VA

Legal business name

COLONIAL EYE CARE, PLC

Practice address

5121 Center St
Suite 102
Williamsburg, VA 23188-2686

Phone

(757) 903-2633

Fax

(757) 903-2634

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brent L Segeleon, ODNPI 1386650042

Title

Owner

Phone

(757) 903-2633

Specialties & licenses 5

Addresses

Other names 1

• Brent Segeleon OD Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Segeleon, O.D.

  • Optometrist
  • Williamsburg, VA
  • NPI 1386650042
  Medicare reassignment Care Compare group Authorized official
• Tori Pierce

  • Optometrist
  • Williamsburg, VA
  • NPI 1851158901
  Medicare reassignment Care Compare group
• Nathan Stahr, O.D.

  • Optometrist
  • Suffolk, VA
  • NPI 1972917573
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1467766279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 CENTER ST",
            "address_2": "SUITE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882686",
            "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": "5121 CENTER ST",
            "address_2": "SUITE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882686",
            "telephone_number": "757-903-2633",
            "fax_number": "757-903-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL EYE CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "SEGELEON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-903-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001521",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001521",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0615001521",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "VA",
            "license": "0618001521",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "VA",
            "license": "0618001521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent Segeleon OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colonial Aesthetics & Wellness
• Colonial Behavioral Health
• Colonial Behavioral Health
• Colonial Center for Hearing Inc
• Colonial Chiropractic
• Colonial Family Dentistry
• Colonial Opthalmology (Advanced Vision Institute)
• Colonial Speech & Swallow Consultants, LLC
• Colonial Transit, LLC
• Colonial Transportation, LLC

• 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 Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.