Individual provider Active NPI

Missael Serna Marin, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1447012141
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT36139TLG Issued in CA
Practice address
1360 E Herndon Ave Ste 103&201
Fresno, CA 93720-3326
Phone
(559) 499-5050
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT36139TLG CA Primary

Addresses

Primary practice location

1360 E Herndon Ave Ste 103&201
Fresno, CA 93720-3326

Mailing address

10283 Avenue 18 1/2
Chowchilla, CA 93610-9065

Other practice location 1

7015 N Chestnut Ave Ste 101
Fresno, CA 93720-0349
Phone (559) 492-3547

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260305003165 CA Practitioner - Optometry 9931699154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT36139TLGCAMDOptometrist
36139CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center Medical Group, Inc. Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1360 E Herndon Ave
Ste 103201
Fresno, CA 93720
Phone (559) 499-5050

7015 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-1010

1360 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 449-5050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1447012141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10283 AVENUE 18 1/2",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936109065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 103&201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-499-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015 N Chestnut Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200349",
            "country_code": "US",
            "telephone_number": "559-492-3547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA MARIN",
        "first_name": "MISSAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36139TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.