Michael L Serrano OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA1770 Issued in GA

Legal business name

MICHAEL L SERRANO OD

Practice address

440 Atlanta Hwy NW
Winder, GA 30680-7826

Phone

(770) 868-5992

Fax

(770) 868-1466

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Michael L Serrano, ODNPI 1881687515

Title

Owner

Phone

(770) 868-5992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L Serrano, OD

  • Optometrist
  • Stone Mountain, GA
  • NPI 1881687515
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1801063680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LAKE RUBY DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242397",
            "telephone_number": "770-868-5992",
            "fax_number": "770-868-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ATLANTA HWY NW",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807826",
            "telephone_number": "770-868-5992",
            "fax_number": "770-868-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L SERRANO OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-868-5992",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Medlink Georgia, Inc (MedLink Winder Women's Center)
• Betsy O Mejias, LCSW, BCCC
• MH Health Care Services, PC
• Miller Family Chiropractic
• Jeffrey Todd Miller, DC
• Ken D Miller, PH.D., LPC, NCC
• Ronald James Mirenda, FNP
• Sharon Denise Mitchell, PHLEBOTOMY

• Optometrist in Winder, GA
• Providers in Winder, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.