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Organization

COLONIAL EYE CARE, PLC

Active
Other names
Brent Segeleon OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT L SEGELEON OD (OWNER)
(757) 903-2633
Entity
Organization

Contact information

Practice address
5121 CENTER ST, SUITE 102, WILLIAMSBURG, VA 23188-2686
(757) 903-2633
(757) 903-2634
Mailing address
5121 CENTER ST, SUITE 102, WILLIAMSBURG, VA 23188-2686
(757) 903-2633
(757) 903-2634

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001521
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001521
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0615001521
VA
152WS0006X
Sports Vision Optometrist
0618001521
VA
152WX0102X
Occupational Vision Optometrist
0618001521
VA

Other

Enumeration date
08/04/2010
Last updated
12/15/2010
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