Phillip Serrins OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4035 T Issued in CA

Legal business name

PHILLIP SERRINS OD INC

Practice address

2179 S Mooney Blvd
Visalia, CA 93277-6242

Phone

(559) 732-2291

Fax

(559) 732-6955

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Phillip Serrins, O.D

Title

President

Phone

(559) 732-2291

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brian Charles Holland, O.D.

  • Optometrist
  • Visalia, CA
  • NPI 1154390839
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356477152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776242",
            "telephone_number": "559-732-2291",
            "fax_number": "559-732-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776242",
            "telephone_number": "559-732-2291",
            "fax_number": "559-732-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP SERRINS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERRINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-732-2291",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4035 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0040351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Phamton, MD
• Timothy Thanh Phamton, DO
• Katie Phelps, BCBA
• Andy Phetseda, CASE MANAGER
• Phil Myers Physicians Assistant Incorporated
• Aaron Phillips
• Dallen Lee Phillips, DDS
• Delgadina Phillips
• Latika Kumar Phillips, M.D.
• Makenzie Lee Phillips

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.