Individual provider Active NPI

Leroy F Seria, OD

  • Optometrist
  • Lower Burrell, PA
National Provider Identifier
1710965264
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000454 Issued in PA
Practice address
3275 Leechburg Rd
Ste 1
Lower Burrell, PA 15068
Phone
(724) 335-9151
Fax
(724) 339-8571
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000454 PA Primary

Addresses

Primary practice location

3275 Leechburg Rd
Ste 1
Lower Burrell, PA 15068

Mailing address

3275 Leechburg Rd
Ste 1
Lower Burrell, PA 15068
Phone (724) 335-9151

Other identifiers 1

IdentifierTypeStateIssuer
103815MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140121000070 PA Practitioner - Optometry 7911135967 Reassigns benefits to 1 organization
Practice locations: Lower Burrell, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

3275 Leechburg Rd
Suite 1
Lower Burrell, PA 15068-2858
Phone (724) 335-3320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000454PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Sep 7, 2021 Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

3275 Leechburg Rd
Ste 1
New Kensington, PA 15068
Phone (724) 335-3320

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1710965264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 LEECHBURG RD",
            "address_2": "STE 1",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "15068",
            "telephone_number": "724-335-9151",
            "fax_number": "724-339-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 LEECHBURG RD",
            "address_2": "STE 1",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "15068",
            "telephone_number": "724-335-9151",
            "fax_number": "724-339-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIA",
        "first_name": "LEROY",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103815",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

Verify at the official NPI Registry.