Serafima Petrenko, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007140 Issued in OH

Practice address

1001 W 5TH St
Marysville, OH 43040-8666

Phone

(937) 644-8637

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, SC2 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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Seravision Inc.

  • Optometrist
  • Marysville, OH
  • NPI 1396518353
  Medicare reassignment NPD Authorized official
• Excel Eyecare, LLC

  • Optometrist
  • Elkins, WV
  • NPI 1396592382

  OH, SC

  Medicare reassignment NPD
• Truitt &Truitt Optometrists Inc

  • Optometrist
  • Marysville, OH
  • NPI 1891729620
  NPD
• Vision Source Marysville

  • Optometrist
  • Marysville, OH
  • NPI 1992316848
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1124710256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24125 DARBY POTTERSBURG RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408666",
            "telephone_number": "937-644-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRENKO",
        "first_name": "SERAFIMA",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Heart Counseling LLC
• Brittany Pease
• Alexandra Pelaez, MD
• Timothy Maxwell Pelfrey, M.D.
• Larisa Annette Peterman
• Faith Pettit
• Marcy L Pfeiffer, MD
• Pharmaceutical Synergy Inc
• Kathryn Lucille Pierce, SWT
• Lynne Pinkus, OTR/L, CHT

• Optometrist in Marysville, OH
• Providers in Marysville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.