Dr. Robert E. Segool, Optometrist. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA8782 Issued in MA

Legal business name

DR. ROBERT E. SEGOOL, OPTOMETRIST. INC.

Doing business as

Robert E. Segool, O. D.

Practice address

112 Winn St
Burlington, MA 01803-3109

Phone

(781) 270-2345

Fax

(781) 270-2300

NPI assigned

Apr 19, 2007

Last updated

Sep 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Segool, O. D.NPI 1356448419

Title

President

Phone

(781) 270-2345

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Robert E. Segool, O. D. Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert E. Segool, O.D.

  • Optometrist
  • Burlington, MA
  • NPI 1356448419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1851518179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WINN ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033109",
            "telephone_number": "781-270-2345",
            "fax_number": "781-270-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WINN ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033109",
            "telephone_number": "781-270-2345",
            "fax_number": "781-270-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT E. SEGOOL, OPTOMETRIST. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SEGOOL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-270-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA8782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA8782",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "56039",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0040179",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Segool, O. D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yamin Dou, M.D.
• Kari G Doucette, MD
• Ilias Doulamis
• Edward C Dow, MD
• Elizabeth Downs, LICSW
• Simon Jeffrey Dreisbach
• Theodora Ann Drescher, LCSW
• Wendell Drew, LICSW
• Loren Dribinsky, MD
• DSMD Consulting LLC

• Optometrist in Burlington, MA
• Providers in Burlington, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.