Individual provider Active NPI

Robin M Segal, O.D.

  • Optometrist
  • Glastonbury, CT
National Provider Identifier
1932161122
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT2460 Issued in CT
Practice address
140 Glastonbury Blvd
Glastonbury, CT 06033-4402
Phone
(860) 659-2020
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT2460 CT Primary

Addresses

Primary practice location

140 Glastonbury Blvd
Glastonbury, CT 06033-4402

Mailing address

35 Belden LN
Rocky Hill, CT 06067-2601
Phone (860) 257-7556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20070129000154 CT Practitioner - Optometry 5395746796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Optometric Care PCGroup PAC ID 3678800109, 11 clinicians

Practice addresses (Care Compare)

140 Glastonbury Blvd
Glastonbury, CT 06033-4402
Phone (860) 256-8766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002460CTMDProfessional Counselor
CT2460CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Optometric Care PC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

325 Burnham St
East Hartford, CT 06108

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1932161122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BELDEN LN",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672601",
            "telephone_number": "860-257-7556"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ROBIN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.