Individual provider Active NPI

Jasmine Serna, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1053921890
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10080 Issued in TX
Practice address
5044 Tennyson Pkwy Ste B
Plano, TX 75024-2953
Phone
(972) 378-4104
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 10080 TX
Optometrist 152W00000X 10080 TX Primary

Addresses

Primary practice location

5044 Tennyson Pkwy Ste B
Plano, TX 75024-2953

Mailing address

5836 Birchbrook Dr Apt 237
Dallas, TX 75206-4581
Phone (505) 414-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200903002446 TX Practitioner - Optometry 6305263492 Reassigns benefits to 2 organizations
I20240910000144 FL Practitioner - Optometry 6305263492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Eyecare LLCGroup PAC ID 3274073390, 6 clinicians
Aaron J Evans OD PAGroup PAC ID 5193853505, 11 clinicians
Nicholas Rashid OD PAGroup PAC ID 7012097710, 3 clinicians

Practice addresses (Care Compare)

1501 SE 24TH Rd
Ocala, FL 34471-6005
Phone (352) 629-8900

21334 Saint Andrews Blvd
Boca Raton, FL 33433-2432
Phone (561) 576-2654

2583 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203
Phone (954) 563-8288

333 Plaza Real
Boca Raton, FL 33432-3938
Phone (561) 392-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10080TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron J. Evans O.D. P.a. Optometrist CurrentSince Jun 1, 2025 Accepting new patients
Brian a. Asalone, O.D., P.a. Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Todd R. Brantley, LLC Optometrist CurrentSince Aug 28, 2020 Accepting new patients
Excel Eyecare, LLC Optometrist CurrentSince Jun 28, 2024 Accepting new patients
Todd Brantley, OD PA Optometrist CurrentSince Aug 28, 2020 Accepting new patients
Nicholas Rashid OD PA Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Dr. Michael Johnson & Associates Optometrist PastSince Oct 2, 2022 Accepting new patients

Locations

1200 S Rogers Cir
Ste 16
Boca Raton, FL 33487

333 Plaza Real
Boca Raton, FL 33432
Phone (561) 392-8383

3735 Evans Ave
Fort Myers, FL 33901
Phone (239) 277-3977

2583 E Sunrise Blvd
Ft Lauderdale, FL 33304
Phone (954) 563-8288

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

605 River Rock Blvd
Murfreesboro, TN 37128

1060 S Preston Rd
Ste 100
Celina, TX 75009
Phone (972) 382-2020

5044 Tennyson Pkwy
Ste B
Plano, TX 75024
Phone (972) 378-4104

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1053921890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 BIRCHBROOK DR APT 237",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064581",
            "telephone_number": "505-414-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 TENNYSON PKWY STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242953",
            "telephone_number": "972-378-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "JASMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "10080",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.