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SIRINE KOUDSI OD
NPI 1356186084
Optometrist in Manhattan Beach, CA

Active since June 25, 2024PECOS Enrolled
1606 2ND ST, MANHATTAN BEACH, CA 90266(626) 678-7600 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sirine Koudsi Od NPPES

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

SIRINE KOUDSI OD (NPI 1356186084) is an individual optometrist in Manhattan Beach, California, licensed in California (OPT35757-TLG) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356186084
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSIRINE KOUDSICredential: OD
Location Address1606 2ND STManhattan Beach, CA 90266-7010
Mailing Address1606 2nd StManhattan Beach, CA 90266-7010 · (626) 678-7600
Phone(626) 678-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1356186084 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 CA · OPT35757-TLG
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.
1606 2ND ST, Manhattan Beach, CA 90266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sirine Koudsi Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587184643
PECOS Enrollment IDI20250220001077
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 Sirine Koudsi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ryan Stybel Od Inc.
14 mi
Optometrist
940 N. FAIRFAX AVE.
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1972950830 (323) 651-5646

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 90266 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Sirine Koudsi's NPI number?

The NPI number for Sirine Koudsi is 1356186084. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Sirine Koudsi located?

Sirine Koudsi practices at 1606 2nd St, Manhattan Beach, CA 90266. The listed phone number is (626) 678-7600.

What is Sirine Koudsi's specialty?

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

Is Sirine Koudsi enrolled in Medicare?

Yes. Sirine Koudsi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sirine Koudsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sirine Koudsi reassigns Medicare benefits to Ryan Stybel Od Inc. (West Hollywood, CA). 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 Sirine Koudsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sirine Koudsi accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Sirine Koudsi 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 Sirine Koudsi was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.