MARIELLE B SERENDA OD
NPI 1720243850
Optometrist in Bolingbrook, IL

Active since July 29, 2008PECOS Enrolled
623 E BOUGHTON RD, STE 120, BOLINGBROOK, IL 60440(630) 783-1514(630) 783-0654 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marielle B Serenda Od NPPES

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

MARIELLE B SERENDA OD (NPI 1720243850) is an individual optometrist in Bolingbrook, Illinois, licensed in Illinois (04601029) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720243850
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARIELLE B SERENDACredential: OD
Location Address623 E BOUGHTON RD, STE 120Bolingbrook, IL 60440-2498
Mailing Address11103 West Ave, Ste 6San Antonio, TX 78213-1370 · (210) 524-6663 · Fax (210) 524-6587
Fax(630) 783-0654
Sole ProprietorNo
Enumeration DateJuly 29, 2008
✔ NPI 1720243850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 04601029
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.
623 E BOUGHTON RD, Bolingbrook, IL 60440

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marielle B Serenda Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marielle Serenda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
603 MADISON ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Marielle Serenda's NPI number?

The NPI number for Marielle Serenda is 1720243850. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Marielle Serenda located?

Marielle Serenda practices at 623 E Boughton Rd Ste 120, Bolingbrook, IL 60440. The listed phone number is (630) 783-1514.

What is Marielle Serenda's specialty?

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

Is Marielle Serenda enrolled in Medicare?

Yes. Marielle Serenda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marielle Serenda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marielle Serenda reassigns Medicare benefits to A & a Vision Inc (Oak Park, IL). The 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 Marielle Serenda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marielle Serenda accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Marielle Serenda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marielle Serenda was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.