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DR. SERENE KOUDSI OD
NPI 1750275095
Optometrist in Redlands, CA

Active since June 03, 2025PECOS EnrolledAccepts Medicare Assignment
1845 W REDLANDS BLVD STE 101, REDLANDS, CA 92373(909) 363-1450 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Jul 11, 2025, Jun 3, 2025 (3 updates tracked since 2025).

About Dr. Serene Koudsi Od NPPES

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

DR. SERENE KOUDSI OD (NPI 1750275095) is an individual optometrist in Redlands, California, licensed in California (35946) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750275095
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SERENE KOUDSICredential: OD
Location Address1845 W REDLANDS BLVD STE 101Redlands, CA 92373-3125
Mailing Address555 N 13th AveUpland, CA 91786-4904 · (800) 345-8979 · Fax (909) 949-3967
Phone(909) 363-1450
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2025
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1750275095 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 · 35946
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.
1845 W REDLANDS BLVD STE 101, Redlands, CA 92373
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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 and accepts Medicare assignment

Dr. Serene Koudsi Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294242236
PECOS Enrollment IDI20250725001284
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 Serene Koudsi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Azul Vision Inc.
51 mi
Ophthalmology
2619 E COLORADO BLVD # 150
Pasadena, CA 91107
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1285247528 (626) 793-4168

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 92373 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE PADRON OD
Optometrist
1845 W REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 363-1450
DR. MATTHEW LAWRENCE DIGGORY O.D.
Optometrist
1845 W REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 363-1450
DR. PAYMOHN MAHDAVI M.D.
Ophthalmology (Retina Specialist)
1845 W REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 363-1450
DR. STELLA TU OD
Optometrist
1845 W REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 363-1450
PRISCILLA K LUKE MD
Ophthalmology
1845 W REDLANDS BLVD STE 101
REDLANDS, CA 92373
San Bernardino County (909) 363-1450

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 Serene Koudsi's NPI number?

The NPI number for Serene Koudsi is 1750275095. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Serene Koudsi located?

Serene Koudsi practices at 1845 W Redlands Blvd Ste 101, Redlands, CA 92373. The listed phone number is (909) 363-1450.

What is Serene Koudsi's specialty?

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

Is Serene Koudsi enrolled in Medicare?

Yes. Serene Koudsi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Serene Koudsi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serene Koudsi reassigns Medicare benefits to Azul Vision Inc. (Pasadena, 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 Serene Koudsi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Serene Koudsi accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Serene 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 Serene Koudsi was last updated on May 22, 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.