Organization Active NPI

Robin Segal, OD LLC

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1770813339
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBIN SEGAL, OD LLC
Practice address
140 Glastonbury Blvd
Glastonbury, CT 06033-4402
Phone
(860) 659-2020
Fax
(860) 657-9723
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Robin Segal, OD
Title
Optometrist
Phone
(860) 659-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

140 Glastonbury Blvd
Glastonbury, CT 06033-4402

Mailing address

205 Sunset RDG
Rocky Hill, CT 06067-2929
Phone (860) 257-7556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1770813339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SUNSET RDG",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672929",
            "telephone_number": "860-257-7556",
            "fax_number": "860-657-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GLASTONBURY BLVD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334402",
            "telephone_number": "860-659-2020",
            "fax_number": "860-657-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN SEGAL, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "860-659-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.