Serenity Eye Care LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

SERENITY EYE CARE LLC

Practice address

550 Arsenal St
Watertown, MA 02472-2853

Phone

(617) 744-3150

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Hong Ji, OD/PHDNPI 1386905537

Title

Doctor

Phone

(646) 239-4219

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hong Ji, O.D.

  • Optometrist
  • Nanuet, NY
  • NPI 1386905537

  MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1295467272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WEBSTER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024218227",
            "telephone_number": "646-239-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722853",
            "telephone_number": "617-744-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "646-239-4219",
        "authorized_official_credential": "OD/PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseli De Fatima Schimanski, LIC.AC.
• Jennifer Ariel Schneider, LCSW, LICSW
• Sydney M Schorr, LMHC
• Seasons Medical Group Inc
• Charles Martin Seitz, DDS
• Shailee Vakulabharanam LLC
• Geeta Sharma, MAOM
• Vibha Sharma, PHD, RPH
• Sharon Giardino LLC
• Anja Shaughnessey, PHARM.D.

• Corneal and Contact Management Optometrist in Watertown, MA
• Providers in Watertown, MA by specialty
• Corneal and Contact Management Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.