Individual provider Active NPI

Sara Mahshid Serati, O.D

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1902153067
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012021597 Issued in MO
Practice address
34 Hampton Village PLZ
Saint Louis, MO 63109-2127
Phone
(314) 752-2679
NPI assigned
Aug 8, 2012
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2012021597 MO Primary
Corneal and Contact Management Optometrist 152WC0802X 2012021597 MO

Addresses

Primary practice location

34 Hampton Village PLZ
Saint Louis, MO 63109-2127

Mailing address

34 Hampton Village PLZ
Saint Louis, MO 63109-2127
Phone (314) 752-2679

Other practice location 1

621 S New Ballas Rd Ste 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

Other practice location 2

851 E 5th St Ste 112
Washington, MO 63090-3128
Phone (636) 239-8345

Other practice location 3

621 S New Ballas Rd Ste 140A
Saint Louis, MO 63141-8254
Phone (314) 251-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140328000717 MO Practitioner - Optometry 5698906006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 5006B
Saint Louis, MO 63141-8270
Phone (314) 251-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Ophthalmology LLC CurrentSince Sep 25, 2023 Accepting new patients
Mercy Health Services, LLC Optometrist Current Accepting new patients
Mercy Health Services, LLC Optometrist CurrentSince Sep 30, 2023 Accepting new patients
Mercy Health Services, LLC Optometrist Past Accepting new patients

Locations

34 Hampton Village Plz
Saint Louis, MO 63109
Phone (314) 251-6430

621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

851 E 5th St
Ste 112
Washington, MO 63090
Phone (636) 239-8345

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1902153067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HAMPTON VILLAGE PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092127",
            "telephone_number": "314-752-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HAMPTON VILLAGE PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092127",
            "telephone_number": "314-752-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd Ste 5006B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418270",
            "country_code": "US",
            "telephone_number": "314-251-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 E 5th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903128",
            "country_code": "US",
            "telephone_number": "636-239-8345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 S New Ballas Rd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418254",
            "country_code": "US",
            "telephone_number": "314-251-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERATI",
        "first_name": "SARA",
        "middle_name": "MAHSHID",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012021597",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "2012021597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.