Individual provider Active NPI

Chester Albert Scerra, O.D.

  • Optometrist
  • Palmyra, NY
National Provider Identifier
1295789485
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV4556 Issued in NY
Practice address
603 E Main St
Palmyra, NY 14522-1172
Phone
(315) 502-0072
Fax
(315) 502-0031
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV4556 NY Primary

Addresses

Primary practice location

603 E Main St
Palmyra, NY 14522-1172

Mailing address

1059 Larkston Dr
Webster, NY 14580-8621
Phone (585) 872-0297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV4556NYMDOptometrist

Interoperability endpoints

  • Direct secure messaging: cscerra84767@direct.urmc.rochester.edu

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1295789485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 LARKSTON DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808621",
            "telephone_number": "585-872-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221172",
            "telephone_number": "315-502-0072",
            "fax_number": "315-502-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCERRA",
        "first_name": "CHESTER",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, NY

Sources for this page

Verify at the official NPI Registry.