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LAGUARDIA PLACE OPTOMETRY PLLC
NPI 1639044613
Optometrist in New York, NY

Active since October 08, 2025CLIA 33D2347930 · Waiver
542 LAGUARDIA PL, NEW YORK, NY 10012(212) 767-9465(212) 691-3262 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, Oct 8, 2025 (2 updates tracked since 2025).

About Laguardia Place Optometry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAGUARDIA PLACE OPTOMETRY PLLC (NPI 1639044613), doing business as West Village Eyecare On Laguardia Place, is a healthcare organization registered as an optometrist in New York, New York and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Hakim R Serhrouchni, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1639044613
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAGUARDIA PLACE OPTOMETRY PLLC
Location Address542 LAGUARDIA PLNew York, NY 10012-1458
Mailing Address542 Laguardia PlNew York, NY 10012-1458 · (212) 767-9465 · Fax (212) 691-3262
Phone(212) 767-9465
Fax(212) 691-3262
Organization SubpartNo
Authorized OfficialHakim R SerhrouchniOwner/doctor · (917) 674-0101
Enumeration DateOctober 8, 2025
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1639044613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
542 LAGUARDIA PL, New York, NY 10012
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Other Names 1

Doing Business AsWest Village Eyecare On Laguardia Place

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laguardia Place Optometry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Laguardia Place Optometry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jiyong Kwon, O.D.
Optometry
NPI 1104981489
542 LAGUARDIA PL
New York, NY 10012
(212) 767-9465
✔ PECOS✔ Accepts MedicareSame address
Larissa Ramilo, OD
Optometry
NPI 1699555995
10 SHERIDAN SQ
New York, NY 10014
(212) 242-6592
✔ PECOS0.4 mi
Hakim Serhrouchni, O.D.
Optometry
NPI 1336275304
10 SHERIDAN SQ
New York, NY 10014
(212) 242-6592
✔ PECOS✔ Accepts Medicare0.4 mi
Shinjini Bose, OD
Optometry
NPI 1720506199
18 N 3RD AVE
Highland Park, NJ 08904
(732) 993-1111
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2347930

Laguardia Place Optometry PLLC · New York, NY
Active · expires Jul 27, 2028
CLIA Number33D2347930
Laboratory TypePractitioner Other
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorHakim R. Serhrouchni
Laboratory Phone(212) 767-9465
Laboratory LocationLaguardia Place Optometry PLLC542 Laguardia Place, New York, NY 10012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laguardia Place Optometry PLLC's NPI number?

The NPI number for Laguardia Place Optometry PLLC is 1639044613. It was assigned to this organization in the NPPES registry on October 8, 2025. The provider is doing business as West Village Eyecare on LaGuardia Place.

Where is Laguardia Place Optometry PLLC located?

Laguardia Place Optometry PLLC is located at 542 Laguardia Pl, New York, NY 10012. The listed phone number is (212) 767-9465.

What is Laguardia Place Optometry PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Laguardia Place Optometry PLLC enrolled in Medicare?

Yes. Laguardia Place Optometry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laguardia Place Optometry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Laguardia Place Optometry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Laguardia Place Optometry PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2347930) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laguardia Place Optometry PLLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.