Individual provider Active NPI

Jonathan Micheal Serrins, O.D.

  • Optometrist
  • Visalia, CA
National Provider Identifier
1902358401
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33606 Issued in CA
Practice address
1618 E Caldwell Ave
Visalia, CA 93292-9228
Phone
(559) 737-9690
NPI assigned
Oct 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33606 CA Primary

Addresses

Primary practice location

1618 E Caldwell Ave
Visalia, CA 93292-9228

Mailing address

1618 E Caldwell Ave
Visalia, CA 93292-9228
Phone (559) 737-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190827003373 CA Practitioner - Optometry 8022346188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serrins Valley Vision Optometry CorpGroup PAC ID 9931437084, 2 clinicians

Practice addresses (Care Compare)

1618 E Caldwell Ave
Visalia, CA 93292-9228
Phone (559) 737-9690

570 N 11TH Ave
Hanford, CA 93230-4406
Phone (559) 582-0392

5770 N 1St St
Fresno, CA 93710-6204
Phone (559) 432-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33606CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Centers of the San Joaquin Valley PastSince Apr 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1902358401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929228",
            "telephone_number": "559-737-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929228",
            "telephone_number": "559-737-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRINS",
        "first_name": "JONATHAN",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.