Active NPI
Jonathan Micheal Serrins, O.D.
- Optometrist
- Visalia, CA
National Provider Identifier
1902358401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33606 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley | Past | 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.
-
- Optometrist
- Visalia, CA
- NPI 1558820555
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.