Joseph Serniak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE 007070 T Issued in PA

Practice address

100 Lunger Dr
Bloomsburg, PA 17815-8330

Phone

(570) 387-5239

Fax

(570) 387-5294

NPI assigned

Oct 25, 2006

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1326122078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COLUMBIA MALL DR",
            "address_2": "STE 56",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158368",
            "telephone_number": "570-387-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LUNGER DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158330",
            "telephone_number": "570-387-5239",
            "fax_number": "570-387-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNIAK",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE 007070 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seesholtz Chiropractic
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• Heather Lynn Seigfried, MSPT
• Jennifer Lynn Seltzer, PHARM.D.
• Tapash K. Sengupta, M.D.
• Michael Serrano, CMT
• Alexandria Lee Shaffer, CRNP
• Mohsin Ahmed Mukhtar Shaikh, PH.D. CCC-A
• Hannah M Shaner
• Dennis M. Sheehe, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.