Serrano, Michael L
Serrano, Michael L is an sole proprietor health care provider with primary practice located at 5462 Memorial Dr Suite 101, Stone Mountain GA 30083-3239. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Serrano, Michael L can be contacted via phone (404) 296-6000.Contact Information
Primary practice address
5462 Memorial Dr Suite 101
Stone Mountain GA 30083-3239
Phone: (404) 296-6000
Fax: (404) 296-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1770 | Georgia |
Profile Details
| NPI number | 1881687515 |
|---|---|
| LBN Legal business name | Serrano, Michael L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 25th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881687515 | NPPES |
| Georgia | MEDICAID | 189691321A |
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