Individual
DR. BRENT SEGELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5273 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2553
(757) 903-2633
(757) 903-2634
Mailing address
5273 JOHN TYLER HWY, WILLIAMSBURG, VA 23185-2553
(757) 903-2633
(757) 903-2634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010307571
—
VA
Enumeration date
08/01/2006
Last updated
07/26/2016
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