Serena Cohen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001519 Issued in PA

Practice address

301 N. Lewis Rd., Suite 165
Colonial Family Eyecare LLC
Royersford, PA 19468-1531

Phone

(610) 948-7000

Fax

(610) 948-7002

NPI assigned

Dec 11, 2006

Last updated

Feb 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Serena Su Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellora Eyes and Optical PLLCGroup PAC ID 8022478726, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellora Eyes and Optical PLLC

  dba Indian Valley Eye Care

  • Optometrist
  • Harleysville, PA
  • NPI 1144918558
  Medicare reassignment Care Compare group NPD
• Colonial Family Eyecare, LLC

  • Optometrist
  • Royersford, PA
  • NPI 1437394442
  Medicare reassignment NPD
• Kevin Rehak, OD

  • Eyewear Supplier
  • Royersford, PA
  • NPI 1225227689
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1245390087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N. LEWIS RD., SUITE 165",
            "address_2": "COLONIAL FAMILY EYECARE LLC",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531",
            "telephone_number": "610-948-7000",
            "fax_number": "610-948-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N. LEWIS RD., SUITE 165",
            "address_2": "COLONIAL FAMILY EYECARE LLC",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531",
            "telephone_number": "610-948-7000",
            "fax_number": "610-948-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SERENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13202",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "SU",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bhavneet Kaur Chawla, DDS
• Manisha Choudhary
• Lora L Clarke, CRNP
• Cierra Clary, MA, LAPC
• Joel Clyman, D.M.D.
• Colonial Family Eyecare, LLC
• Jenna Cominsky
• Complete Chiropractic Center
• Lindsay Michelle Corkery
• County of Montgomery

• Optometrist in Royersford, PA
• Providers in Royersford, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.