Michael L Serrano, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1770 Issued in GA

Practice address

5462 Memorial Dr
Suite 101
Stone Mountain, GA 30083-3239

Phone

(404) 296-6000

Fax

(404) 296-3600

NPI assigned

Aug 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

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.

• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment Care Compare group NPD
• Michael L Serrano OD

  • Optometrist
  • Winder, GA
  • NPI 1801063680
  Medicare reassignment Authorized official
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Duluth, GA
  • NPI 1336819374
  NPD
• Vertigo Atlanta & Physical Therapy

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1316710932
  NPD
• Dr. Daniel D. Gottlieb Optometrist, PC

  dba Gottlieb Vision Group

  • Low Vision Rehabilitation Optometrist
  • Alpharetta, GA
  • NPI 1720285307
  NPD (past)
• Dr. Maurice E. Zadeh, Optometrist, P.C.

  dba Family Eyecare of Roswell

  • Optometrist
  • Roswell, GA
  • NPI 1174515464
  NPD (past)
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Woodstock, GA
  • NPI 1144684184
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1881687515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5462 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833239",
            "telephone_number": "404-296-6000",
            "fax_number": "404-296-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5462 MEMORIAL DR",
            "address_2": "SUITE 101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833239",
            "telephone_number": "404-296-6000",
            "fax_number": "404-296-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Sugarloaf Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300974929",
            "country_code": "US",
            "telephone_number": "773-495-0937",
            "fax_number": "678-417-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189691321A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shajeh Home Care LLC
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• Kobi Sharras

• Optometrist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.