Michelle Cereo, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

9996 Issued in NY

Practice address

1100 Heritage Dr
Sanatoga, PA 19464-9216

Phone

(610) 326-2754

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Path Vision of North Wales LLC

  • Optometrist
  • North Wales, PA
  • NPI 1811667280
  NPD Authorized official
• New Path Vision of Pottstown LLC

  • Optometrist
  • Sanatoga, PA
  • NPI 1457021826
  NPD Authorized official
• The Dry Eye Center LLC

  • Optometrist
  • Pottstown, PA
  • NPI 1659257509
  NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1790416873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEREO",
        "first_name": "MICHELLE",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "9996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre J Brown, LSW
• Madison Crowe, OD
• Kathleen Bernadette Dalasio, OTRL
• Jessica Edwards, PHARMD
• Carolina Perez Hansell
• Jerrin Johnson, DMD

• Optician in Sanatoga, PA
• Providers in Sanatoga, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.