| NPI | 1467766279 |
|---|---|
| Other Name | BRENT SEGELEON OD |
| Entity Type | Organization |
| Authorized Contact | BRENT L SEGELEON Owner 757-903-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001521) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001521) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0615001521) | |
| 152WS0006X Optometrist, Sports Vision (Licence: VA 0618001521) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: VA 0618001521) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-12-15 |