Organization Active NPI

Seraly Eye Care Associates LLC

  • Medical Specialty Clinic/Center
  • McMurray, PA
National Provider Identifier
1346639861
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OEG001740 Issued in PA
Legal business name
SERALY EYE CARE ASSOCIATES LLC
Practice address
220 E McMurray Rd
MC Murray, PA 15317-2948
Phone
(724) 942-1300
NPI assigned
Jan 21, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Loretta G Seraly, O.D.NPI 1447387667
Title
Owner/Optometrist
Phone
(724) 942-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OEG001740 PA Primary

Addresses

Primary practice location

220 E McMurray Rd
MC Murray, PA 15317-2948

Mailing address

220 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 942-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150909000662 PA Part B Supplier - Clinic/Group Practice 3971819848 Receives reassigned benefits from 3 practitioners
Practice locations: MC Murray, PA

National Provider Directory

National Provider Directory

Locations

220 E McMurray Rd
McMurray, PA 15317
Phone (214) 732-4428

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1346639861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-942-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MCMURRAY RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-942-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERALY EYE CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "SERALY",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "724-942-1300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "OEG001740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.