Wayne Richard Serin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3791 Issued in TN

Practice address

100 Legacy Pointe Blvd
Mount Juliet, TN 37122-2497

Phone

(615) 583-4495

NPI assigned

Jan 19, 2007

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 WA, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elena Collier

  • Optometrist
  • Hendersonville, TN
  • NPI 1477924587
  Medicare reassignment NPD
• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment NPD
• Murfreesboro Eye Center PLLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1407589195
  Medicare reassignment NPD
• Elevated Eyecare LLC

  • Optometrist
  • Nellis Afb, NV
  • NPI 1427704774

  WA

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Renton, WA
  • NPI 1124264577
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• Hermitage Eye Care PLLC

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD (past)
• Valley Cities Counseling and Consultation

  • Community/Behavioral Health Agency
  • Kent, WA
  • NPI 1972668853
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1366595704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 OLD TOWNE DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226140",
            "telephone_number": "714-349-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEGACY POINTE BLVD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222497",
            "telephone_number": "615-583-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIN",
        "first_name": "WAYNE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keribeth R Searcy, PA-C
• Daniel B Seeley, FNP
• Brigin Lynette Seger, PA-C
• Select Physical Therapy Holdings, Inc.
• Semaekediong Transport Inc.
• Glenda Elaine Sesnan
• Piper L Sesnan
• Joan Evelyn Settle, LCSW
• Corina Rebecca Settles
• Seven Springs Orthopaedics, PC

• Optometrist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.